Torsion of the Tube and Ovary


D efinition Mechanical interruption of the adnexal arterial and/or venous blood flow by mechanical factors.

Clinical Features

Epidemiology

  • Rare (reported in as few as 1 in every 1.5 million women), can occur at any age but usually in reproductive-age women.

  • Most commonly seen with pregnancy, hydrosalpinx, ovarian cysts, tubal ligation, and benign tumors.

  • Uncommonly associated with malignancies.

  • Caused by rotation on the vascular pedicle. Fallopian tube and ovary can torse together or individually via rotation of the mesosalpinx and mesovarium, respectively.

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