Case challenge · Obstetrics & gynecology / Emergency · teaching

Ovarian / Adnexal Torsion — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

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Case #1Obstetrics & gynecology / Emergency

📋 Case data

Clinically suspected torsion?Not supportive, consider other causes

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Clinically suspected torsion?

Sudden unilateral pelvic pain + nausea — is torsion clinically suspected?

💡 Gynecological emergency. Sudden severe unilateral lower abdominal/pelvic pain (often sharp, may radiate to the groin) + nausea/vomiting; risk factors = enlarged ovary/mass (>5 cm), pregnancy, reproductive age. First-line transvaginal/pelvic Doppler ultrasound ('whirlpool sign', enlarged ovary); normal Doppler flow does not exclude torsion (do not decide on Doppler alone). Labs are usually normal.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.