Torsion of ovarian cyst legs: symptoms, treatment, emergency care

Torsion of ovarian cyst legs considered a serious pathology. In the diagnosis of this complication prescribe surgery, other treatment methods do not exist. When twisted cyst required immediate surgery. But among all emergency gynecological pathologies frequency twist cystic feet is 7%.

What is torsion of ovarian cysts and why it occurs

Its structure is a pouch cyst, which is filled with liquid. Its contents can be purulent, hemorrhagic, serous, depending on the species. Most often acute pathological condition occurs when the patient highly mobile tumor formation:

• cystoma;
• fibroids;
• dermoid, parovarian cyst.

Twist arises due cysts inflection or bloat anatomical structures that form cystic leg. The exact causes that trigger the development of acute pathology are unknown. It can occur when:

• a sharp change in body position;
• physical stress;
• performing sports exercises;
• Overflow bladder;
• changing pressure inside the peritoneum, which is triggered by straining, increased peristalsis.

Warning! In women with mild anterior abdominal wall of the problem may occur when gestation or after birth.

Structures which are attached to the ovary (vessels, ligaments, mesentery, neural, lymphatic trunks) formed anatomical leg ovarian tumor. If it happens torsion, the process involves the gland, ovaries, fallopian tubes, bowel loops. In this case we are talking about a surgical leg swelling. This is the main difference between the surgical and anatomical leg ovary.

Depending on the process flow rate specialists identify gradual and sharp torsion. According to the degree of rotation it can be full (if reversal performed at 360 ° or more) or incomplete (at least 360 degree reversal °).

As a result, there is a complete reversal of the bend of veins, arteries, nerve and lymphatic structures, going to the ovary. Begin necrotic changes in the tumor site, there is the likelihood of peritonitis.

With incomplete twisting there is a violation of the process of venous blood flow and arterial blood continues to flow. This leads to a sharp increase in the size of the cyst and its rupture.

Torsion of ovarian cyst: the code in ICD 10

At the turn of ovarian cysts are diagnosed with non-inflammatory disease of the appendages. Assigned code - N83.

When ovarian twisting his legs, fallopian tube N83.5 assigned code.

Torsion of the ovary: symptoms in women

The appearance of cysts on the ovary increases the likelihood of kinking of the gonads due to the fact that its weight and volume increase. It is a pathological condition provokes the appearance of the clinic "acute abdomen". Women complain of severe cramping or stabbing pain in the lower abdomen that radiates to the groin, back and side.

Cheerleaders should increase in pain that is accompanied by a:

• vomiting appearing in waves;
• constant nausea;
• bloody leucorrhea;
• flatulence;
• weakness;
• lihorodkoy;
• the advent of cold sweat;
• pale skin;
• tachycardia.

If the ovary is twisted in part, the symptoms will be less severe. Patients may complain of a dull pain, some are periodically amplified, but the aggravation of a temporary nature.

If there was a torsion of ovarian tumor stem observed similar symptoms.

Methods of diagnosis of ovarian torsion legs

For the diagnosis the doctor must examine the patient, collect anamnesis. It is important to report the operations that were carried out in the pelvis, abdomen, presence of cysts or tumor-like formations in the appendages.

The doctor will suspect that there was a torsion legs ovarian cyst with symptoms of "acute abdomen", if it is to know that a woman has a cyst was discovered earlier. Clarify the picture, you can use ultrasound. To see the twisting of the ovary on ultrasound, it is desirable to hold it in a color Doppler mode. This allows us to understand how he increased in size, to estimate the density of twisted structures, identify free fluid in the pelvis, to check whether the blood flow there.

But the US does not fully evaluate the condition of torsion of the uterus. The patient is prescribed a diagnostic laparotomy or laparoscopy.

Treatment of ovarian torsion in women

If you suspect or confirm that a woman's ovary twisted, appoint an emergency operation. In cases prescribed neotyazhelennyh laparoscopic detorsiyu - unwinding of the appendages through punctures in the abdomen.

If there were complications that make conventional abdominal operation. In cases where there were irreversible circulatory disorders spend adnexectomy, ovariectomy. If appendages became viable, then they are removed without unwinding.

After surgery, depending on the condition of the patient prescribe:

• antibiotics;
• anti-inflammatory medications;
• donated blood (blood substitutes);
• analgesics;
• dezitoksikatsionnuyu therapy.

Reference! During the recovery period shown physiotherapeutic treatment, hormone therapy. doctors often prescribe vitamin complexes and immunomodulators.

Emergency care in torsion of ovarian cyst legs

When twisting cysts in the uterine appendages require immediate hospitalization of the patient and carrying out an emergency operation. Delaying the process can lead to:

• cyst merged with other bodies;
• peritonitis development;
• connection of secondary infections;
• the emergence of major bleeding.

The nature of the operation depends on the type cysts, recent changes in the pelvic organs, the time which has passed since the occurrence of an acute condition. Previously, when was the surgical leg twisted ovarian tumor, it is cut off.

In modern surgery holding sparing surgery is practiced. Anatomical foot ovarian tumor will remain intact if the 10-20 minutes after its unwinding begins to recover blood supply. In such cases, only remove cysts. See, how they spend their unwinding in laparoscopic surgery can be in the video:

Prediction and prevention of ovarian tumor torsion legs

Prevent the development of emergency gynecological conditions can, if you regularly go to the gynecologist and monitor reproductive health. If a woman has been identified tumor appendages, it is best to spend on elective surgery for its removal. In some cases, prescribe conservative treatment, but the state should be monitored by ultrasound and regular check-ups.

With early detection of pathology and the operation odds ratio remains high. In cases when it is possible to hold breast-conserving surgery, the probability of negative consequences minimal. Young women manage to keep the reproductive organs.

Torsion of the legs of ovarian cysts is urgent gynecological condition, which requires an urgent operation. Only with the help of timely surgical intervention can prevent the development of complications.