Sonographic Diagnosis Of Ovarian Torsion: Accuracy, Predictive Value, And Diagnostic Indicators

Abstract

Ovarian torsion is a life-threatening gynaecologic emergency that has to be initially diagnosed so as to avoid the irreparable damage to the ovary. The objective of the study was to determine the precision of sonographic diagnosis of ovarian torsion and predictive ability of different sonographic appearances. A retrospective study involving 45 women who had undergone ultrasound assessment and diagnostic laparoscopy was done. The researchers have determined that the general accuracy of sonographic diagnosis was 74.6%. The most predictive markers of torsion were the key sonographic ones involving ovarian edema, abnormal blood flow of the ovary, and free fluid surrounding the ovary. Free fluid in the Douglas pouch was largely related to ovarian torsion (P =.005). Nevertheless, the limitations such as small sample size and diversity in the operators of ultrasound were minimized, and the significance of the use of multiple sonographic signs was identified to achieve the better diagnostic accuracy in the context of diagnosing ovarian torsion and the importance of using sonography, as one of the diagnostic methods.