Ultrasound Study in Patients Having Acute Lower Abdominal Pain and In Torsion
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 1
Abstract
Objective: For detecting underline ovarian pathology. Ultrasound has been proven to be useful. The main aim of this study was to find out percentage of ovarian torsion in patients suffering from acute lower abdominal pain undergoing ultrasonography and to assess the role of ultrasound in the prediction of ovarian torsion in patients with acute lower abdominal pain related toclinicallysuspected ovarian torsion. Methods: Patients of acute lower abdominal pain were considered under this study. Total 66 patients suffering from acutc lower abdominal pain had under gone ultrasonographic examinaion. Patients were categorized in two groups according to their age i.e. group A and group B. In group A patients between age group of 12 years to 17 years were taken. In group B patients from age of 18 years and above were taken. According to situation patients were examine transabdominally and transvaginally. In this study 2.5 MHz to 5 MHz convex transducer was used for transabdominal ultrasonography. For transvaginal ultrasonography examination 7.5 MHz transducer was used. All patients were examined in supine position Results: In this study total 66 cases were clinically suspected for ovarian torsion, out of which 56 cases (84.84%) were diagnosed as ovarian torsion by ultrasonography examination. In the age group of 12-17 years, 13cases (23.21%) and above 18years of age 43 cases (76.78%) were suffering from ovarian torsion. The ovarian torsion found in 46 married cases (82.14%) and in unmarried cases it was found in 10 cases (17.80%).Two cases (3.57%) were reported in pregnant women while 54 cases (96.20%) were reported in non-pregnant cases. In all cases (100%) pain in lower abdomen were reported, but radiating pain to back and loin were reported in 8 cases (14.28%) .Vomiting and/0r nausea was found in 36 cases (64.28%) whereas no nausea and vomiting was observed in 20 cases (35.71%).The cyst was found in 52 cases (92.85%) while in 4 cases (7.14%) no cyst was found. Involvement of right side ovary in ovarian torsion was found in 49 cases (87.50%) whereas left ovarian involvement was observed in 7 cases (12%) . Conclusion: From the collective findings of this study and considering its limitations in terms of sample size it is concluded that the definitive diagnosis of ovarian torsion remains challenging. Both clinically and sonographical evaluation of acute lower abdominal pain should be considered for the diagnosis of ovarian torsion
Authors and Affiliations
Aruna R. Pawar
Keywords
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