Pay attention to the severe pain in the lower abdomen, it may be ovarian tumor pedicle torsion

The ovary is an important part of the female reproductive organ and is particularly important to women's health. Pedicle torsion is a common gynecological acute abdomen. About 10% of ovarian tumors are complicated by pedicle torsion. Pedicle torsion is generally more common during pregnancy. If ovarian tumor pedicle torsion occurs, it must be treated promptly to avoid more serious consequences.

Causes:

The most common cause is ovarian cystic lesions, such as ovarian epithelial cysts, dermoid cysts, ovarian crown cysts, etc. The increase in ovarian volume and weight caused by the above reasons may be an important cause of ovarian torsion. It can occur in one or both ovaries, but bilateral torsion is less common.

Clinical manifestations:

1. Symptoms

Patients with a history of pelvic or adnexal masses suddenly experience severe pain on one side of the lower abdomen, often accompanied by nausea, vomiting, and even shock. Abdominal pain can be relieved when the torsion pedicle is naturally reduced or the tumor is completely necrotic.

2. Physical signs

Pelvic examination revealed cervical lifting and swinging tenderness, the uterus was normal size, and a mass was palpated in the adnexal area on one side with high tension and tenderness, most obvious at the pedicle.

examine:

1. Ultrasound examination: Ultrasound examination of ovarian cysts can detect the location, size, shape and nature of the mass, indicating whether the tumor is cystic or solid, benign or malignant, and can differentiate it from other diseases, which is of great significance for the diagnosis of ovarian tumors.

2. Gynecological examination shows that the tumor has great tension and tenderness, which is most obvious at the tumor pedicle.

3. The final diagnosis requires surgical exploration.

Diagnosis: The diagnosis is not difficult to make based on the history of the mass, acute onset of abdominal pain, palpable mass in the pelvis and tenderness over the uterine cornu pedicle.

Treatment: The traditional treatment method is to perform laparotomy or laparoscopy to remove the affected side ovary as soon as possible once the pedicle torsion is confirmed. But ovarian cyst pedicle torsion mostly occurs in young women, even teenagers. Conservative surgical treatment of ovarian tumor pedicle torsion in young women after detorsion is safe and effective. There are many reports on laparoscopic adnexal preservation and cystectomy for the treatment of ovarian cyst pedicle torsion. Laparoscopy can diagnose ovarian cyst pedicle torsion early and provide conservative treatment under laparoscopy, and the operation is safe and effective.

Prevention: Ovarian cysts can be prevented. Gynecological examinations should be performed regularly for early detection, diagnosis and treatment. If ovarian abnormalities are found but cannot be confirmed, regular follow-up is required. Therefore, patients with ovarian cysts should seek medical treatment as soon as possible.