Management of Ovarian Torsion: 2018 Pediatric Surgery Practice Gap #8

Ultrasounds are not very good in terms of ruling out ovarian torsion

An ultrasound is a horrible test for torsion

In a patient with suspected torsion, you have to go to the operating room

When you find torsion in the operating room, you don't take the ovary out even if it's black; you leave it there in order to preserve fertility

After detorsion, you follow serially with ultrasounds to make sure that the ovary is staying healthy

Even if there's Doppler flow on ultrasound, doesn't mean that there's no torsion

Ovarian torsion could be intermittently torsing

There may be a part of the ovary that has blood flow while other parts do not

Even with Doppler flow present on ultrasound, you still need to go to the operating room for suspected ovarian torsion