N83.53 Torsion of ovary, ovarian pedicle and fallopian tube
ICD10CM code
ICD10CM
Name of the Condition
Torsion of Ovary, Ovarian Pedicle, and Fallopian Tube
Commonly referred to as ovarian torsion or adnexal torsion.
Summary
Ovarian torsion is a medical emergency where the ovary and sometimes the fallopian tube twist around the tissues that support them, cutting off the blood supply. This condition requires swift intervention to prevent severe complications.
Causes
The exact cause often remains unidentified, but potential contributors include ovarian cysts, larger ovarian masses, or hypermobility of the reproductive organs. Pregnancy and fertility treatments may also increase risk.
Risk Factors
Females of reproductive age, especially those on fertility treatments
Previous history of ovarian torsion
Polycystic ovarian syndrome (PCOS)
Use of hormonal medications or treatments
Symptoms
Sudden, severe pelvic pain
Nausea and vomiting
Abdominal tenderness
Fever may occur as the condition progresses
Diagnosis
Transvaginal ultrasound with Doppler studies to assess blood flow
Physical pelvic examination
MRI and CT scans in certain cases to confirm diagnosis
Treatment Options
Surgery (laparoscopy or laparotomy) is the primary treatment to untwist and restore blood flow. In some cases, removal of the affected ovary (oophorectomy) may be necessary.
Pain management through medication before surgical intervention.
Prognosis and Follow-Up
Prognosis is excellent with timely surgical intervention. Delays can lead to ovarian necrosis and removal.
Regular check-ups post-surgery to monitor recovery and prevent recurrence.
Complications
Loss of ovarian function or necrosis if not treated promptly
Infertility if both ovaries are affected or removed
Infection and bleeding as surgical complications
Lifestyle & Prevention
While specific prevention is challenging due to varied causes, patients undergoing fertility treatment should have regular monitoring.
Awareness of symptoms for early detection and intervention.
When to Seek Professional Help
Immediate medical attention is necessary for sudden pelvic pain or any of the above symptoms, especially in women with risk factors.