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A case–control study of sonographic maximum ovarian diameter as a predictor of ovarian torsion in Emergency Department females with pelvic pain

Academic Emergency Medicine Sep 29, 2018

Budhram G, et al. – Given that maximum ovarian diameter (MOD) could theoretically be used as a screening test in hospital emergency departments (EDs) for the identification of ovarian torsion, researchers identified MOD values below which torsion would be unlikely. They performed a retrospective case-control study spanning a 14-year period and examined the ultrasound characteristics of patients with torsion and age-matched controls, all presenting to the ED with lower abdominal pain and receiving a pelvic ultrasound for “rule-out torsion.” Outcomes suggested the possible utility of a threshold MOD of 5 cm on pelvic ultrasound in ruling out ovarian torsion in postmenarchal females presenting with lower abdominal and pelvic pain.

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