We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). Consultant. A study at an obstetrics and gynaecology department found that preoperative diagnosis of ovarian torsion was confirmed in only 46% of people.. Ultrasound. 9 This may be in part due to the dual blood supply to the ovary, or cases in which torsion was intermittent or partial. It is one of the most common gynecologic surgical emergencies and may affect females of all ages [ 1 ]. Etiology and pathophysiology. Ovarian torsion after hysterectomy is a rare event. Ovarian torsion is defined as partial or complete rotation of the ovar-ian vascular pedicle and causes obstruction to venous outflow and arterial inflow. Ovarian torsion refers to the complete or partial rotation of the ovary on its ligamentous supports, often resulting in impedance of its blood supply. Ultrasonography (US) is the primary imaging modality for Ovarian torsion occurs … More completely, it is defined as adnexal torsion when the twisting includes the fallopian tube. Ovarian torsion is difficult to diagnose accurately, and operation is often performed before certain diagnosis is made. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. Ovarian torsion is defined as a partial or complete twisting of the ovary around its vascular pedicle and ligamentous supports. Ovarian torsion refers to complete or partial rotation of the adnexal supporting organ with ischemia. Ovarian edema may occur due to partial ovarian torsion, which blocks the blood flow and prevents lymph fluid from draining. When present, it is often associated with severe pain. The presence of Doppler flow in some patients with torsion may be due to intermittent torsion, partial torsion, or the presence of additional blood supply through uterine artery branches . A 70-year-old woman presented to the emergency department with right lower quadrant (RLQ) abdominal pain, nausea, and vomiting. Ovarian torsion is the total or partial … Diagnosis. Use of doppler ultrasound in … Regarding Doppler flow, one study found that 61% of ovarian torsion on the right had normal doppler flow while 27% on the left had normal flow. Ovarian torsion is benign in most cases and malignancy is rare. Furthermore, we performed a literature review about ovarian torsion after hysterectomy. Chronic intermittent partial torsion of a benign ovarian fibroma. It can affect females of all ages. Clinically, ovarian torsion frequently mimics other causes of acute pelvic pain such as appendicitis, diverticulitis, renal colic etc. This case shows that, in cases of acute onset pelvic … Gynecologic ultrasonography is the imaging modality of choice. 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