Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- pelvic or abdominal pain
- nausea, vomiting, or diarrhoea
- abdominal/pelvic tenderness
- palpable adnexal mass
- presence of risk factors
Outros fatores diagnósticos
- feeding intolerance, vomiting, abdominal distension, and fussiness (neonates)
- strenuous exercise
- peritoneal signs
- cervical motion tenderness
- fever
Fatores de risco
- ovarian neoplasm
- functional ovarian cyst
- para-ovarian cyst
- hydrosalpinx
- pregnancy
- infertility treatment
- strenuous exercise
- sudden increased abdominal pressure
- polycystic ovary syndrome
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- pregnancy test
- urinalysis
- FBC
- group and save
- sickle cell test
- C-reactive protein (CRP)
- transvaginal ultrasound
- abdominal or transrectal ultrasound
- Doppler flow
- PCR, nucleic acid amplification test, or cervical culture
- surgical visualisation
Investigações a serem consideradas
- CT abdomen/pelvis
- MRI abdomen/pelvis
Algoritmo de tratamento
all patients
Colaboradores
Consultores especialistas
Jackie Ross, BSc, MBBS, FRCOG
Consultant Gynaecologist and Clinical Lead
Early Pregnancy and Gynaecology Assessment Unit
King’s College Hospital NHS Foundation Trust
London
UK
Biografia
JR is Vice Chair of the Association of Early Pregnancy Units and a medical advisor to the Ectopic Pregnancy Trust. She is also a course organiser for the Royal College of Obstetricians and Gynaecologists (RCOG) advanced skills training in Early Pregnancy and Acute Gynaecology, and South London RCOG ultrasound training co-ordinator for Gynaecology.
Declarações
JR declares that she has no competing interests.
Agradecimentos
BMJ Best Practice would like to gratefully acknowledge the previous expert contributor, whose work has been retained in parts of the content:
Dr Sareena Singh, MD, FACOG
Assistant Professor
Department of Obstetrics and Gynecology
Northeast Ohio Medical University
Rootstown
Chief of Gynecologic Oncology
Aultman Hospital
Canton
OH
Disclosures: SS declares that she has no competing interests.
Revisores
Cecilia Bottomley, MBBChir, MD, MRCOG
Consultant Gynaecologist and Clinical Lead for Gynaecology Governance
University College London Hospitals NHS Foundation Trust
London
UK
Declarações
CB declares that she has no competing interests.
Referências
Principais artigos
American College of Obstetricians and Gynecologists. Adnexal torsion in adolescents: ACOG committee opinion no, 783. Obstet Gynecol. 2019 Aug;134(2):e56-63.Texto completo Resumo
Ritchie J, O’Mahony F, Garden A. Guideline for the management of ovarian cysts in children and adolescents. British Society for Paediatric & Adolescent Gynaecology. Dec 2018 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Ectopic pregnancy
- Mittelschmerz due to ruptured graafian (dominant) follicle
- Urolithiasis
Mais Diagnósticos diferenciaisDiretrizes
- Imaging in gynecological disease: clinical and ultrasound characteristics of adnexal torsion
- Guideline for the management of ovarian cysts in children and adolescents
Mais DiretrizesFolhetos informativos para os pacientes
Ovarian torsion
Mais Folhetos informativos para os pacientesConectar-se ou assinar para acessar todo o BMJ Best Practice
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