Ovarian Torsion

In this episode, Dr Jennifer Dietrich from Texas Children’s Hospital discusses ovarian torsion. Table of contents: 00:00 – PLAY FROM THE BEGINNING 01:33 – Evaluation of the adolescent with lower abdominal pain 02:49 – Ultrasound 04:29 – Ovarian blood flow 07:06 – Peripherally located follicle 08:06 – Ovarian mass or lesion 11:14 – What findings are suggestive of malignancy? 12:13 – Role for CT or MRI 13:16 – Are pelvic exams necessary? 13:58 – Labs 15:01 – Tumor markers 16:50 – When to operate with normal blood flow 19:40 – Classic presenation of ovarian torsion 21:09 – Difference between symptomatic ovarian cyst and ovarian torsion 22:38 – Operative technique 23:48 – Cystectomy vs fenestration 26:08 – Ovarian salvage 27:51 – Ovarian bivalve procedure 30:48 – Oophoropexy 35:00 – Tubo-ovarian abscess 35:53 – Pregnancy 37:57 – Ectopic pregnancy 39:49 – Endometriosis 42:15 – Post-operative management 43:26 – Oral contraceptives 44:19 – Surveillance 45:33 – Closing remarks Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626 License: creativecommons.org/licenses/by/3.0/