Comment diagnostiquer une anomalie de torsion ?

Le diagnostic repose sur l'examen clinique, l'imagerie et les antécédents médicaux.

Quels examens sont utilisés pour le diagnostic ?

Les échographies, IRM et scanners sont couramment utilisés pour visualiser la torsion.

Quels signes cliniques indiquent une torsion ?

Douleur aiguë, gonflement et dysfonction de l'organe affecté sont des signes clés.

La torsion peut-elle être confondue avec d'autres conditions ?

Oui, elle peut être confondue avec des infections ou des obstructions.

Quel rôle joue l'historique médical dans le diagnostic ?

L'historique médical aide à identifier des facteurs de risque et des symptômes associés.

Quels sont les symptômes courants d'une torsion ?

Douleur intense, nausées, vomissements et parfois fièvre peuvent survenir.

La torsion provoque-t-elle des symptômes systémiques ?

Oui, des symptômes comme la fièvre et la fatigue peuvent apparaître.

Comment la douleur se manifeste-t-elle ?

La douleur est souvent localisée et peut être décrite comme aiguë ou lancinante.

Les symptômes varient-ils selon l'organe affecté ?

Oui, les symptômes peuvent différer selon l'organe touché, comme les testicules ou l'ovaire.

Peut-on avoir des symptômes sans torsion ?

Oui, d'autres conditions peuvent provoquer des symptômes similaires sans torsion.

Peut-on prévenir les anomalies de torsion ?

Certaines anomalies peuvent être évitées par des examens réguliers et une détection précoce.

Quels conseils de style de vie peuvent aider ?

Maintenir un poids santé et éviter les activités à risque peut réduire les chances de torsion.

Les antécédents familiaux influencent-ils la prévention ?

Oui, des antécédents familiaux d'anomalies de torsion peuvent augmenter le risque.

Les examens réguliers sont-ils importants ?

Oui, des examens réguliers peuvent aider à détecter des anomalies avant qu'elles ne deviennent graves.

Y a-t-il des activités à éviter ?

Certaines activités sportives intenses peuvent augmenter le risque de torsion, à éviter.

Quel est le traitement principal pour une torsion ?

Le traitement principal est chirurgical pour défaire la torsion et préserver l'organe.

Des traitements non chirurgicaux existent-ils ?

Des traitements non chirurgicaux peuvent être envisagés, mais sont rares et moins efficaces.

Quelle est l'urgence d'un traitement ?

Un traitement rapide est crucial pour éviter des dommages permanents à l'organe affecté.

Quels médicaments peuvent être prescrits ?

Des analgésiques et des anti-inflammatoires peuvent être prescrits pour soulager la douleur.

Y a-t-il des soins post-opératoires nécessaires ?

Oui, des soins post-opératoires sont nécessaires pour surveiller la guérison et prévenir les complications.

Quelles sont les complications possibles d'une torsion ?

Les complications incluent la perte de fonction de l'organe, infections et douleurs chroniques.

La torsion peut-elle entraîner des problèmes à long terme ?

Oui, des problèmes à long terme comme l'infertilité peuvent survenir, surtout dans les cas non traités.

Comment prévenir les complications post-opératoires ?

Un suivi médical régulier et des soins appropriés aident à prévenir les complications.

Les complications varient-elles selon l'organe ?

Oui, les complications peuvent varier selon l'organe affecté, comme les testicules ou l'ovaire.

Quels signes indiquent une complication ?

Des douleurs persistantes, fièvre ou écoulements anormaux peuvent indiquer une complication.

Quels sont les principaux facteurs de risque ?

Les facteurs incluent des antécédents familiaux, des anomalies congénitales et des activités sportives intenses.

L'âge influence-t-il le risque de torsion ?

Oui, les adolescents et jeunes adultes sont plus à risque de torsion, surtout testiculaire.

Les maladies préexistantes augmentent-elles le risque ?

Certaines maladies, comme les malformations anatomiques, peuvent augmenter le risque de torsion.

Les changements hormonaux jouent-ils un rôle ?

Oui, les changements hormonaux peuvent influencer le risque de torsion, notamment chez les adolescents.

Les activités physiques à risque sont-elles un facteur ?

Oui, des activités physiques intenses ou des traumatismes peuvent augmenter le risque de torsion.

Anomalie de torsion - Informations médicales vérifiées

Gallbladder torsion.

01 Jul 2024

DOI: 10.1097/01.JAA.0000000000000020 PMID: 38916367

Gallbladder torsion is a rare cause of acute surgical abdomen. Early recognition and surgical intervention are important for reducing complications and improving postoperative patient outcomes, but st...

Humans Torsion Abnormality Gallbladder Diseases Gangrene Gallbladder +5 autres

Torsion of a large subserosal fibroid along with omental torsion adherent to it: a rare cause of acute abdomen.

03 Sep 2024

DOI: 10.1136/bcr-2023-258651 PMID: 39231568

A woman in her 30s presented to emergency with complaints of acute lower abdominal pain for 3 days, not associated with any menstrual, bowel or urinary symptoms. Examination revealed an abdominopelvic...

Humans Abdomen, Acute Female Leiomyoma Omentum +7 autres

Fertility preserving management of ovarian torsion.

Dec 2023

DOI: 10.1016/j.fertnstert.2023.08.012 PMID: 37574000

To analyze characteristics of acute and chronic ovarian torsion, review treatment recommendations, and present possible surgical techniques for fertility preservation in young women.... Literature review and demonstration of perioperative management of ovarian torsion using radiologic images and intraoperative video footage. Ovarian torsion is mostly mentioned in context of gynecolog... Medical University of Vienna, Department of Obstetrics and Gynecology.... We present a case of acute ovarian torsion with a consequently ischemic ovary as well as a case of chronic ovarian torsion with related massive ovarian edema. The patients included in this video gave ... Laparoscopic management with detorsion of the torquated ovaries, cystectomy on an ischemic ovary and oophoropexy to the pelvic side wall and utero-ovarian ligament to prevent recurrence.... Postoperative relief of pain and normalization of ovarian size and morphology on ultrasound imaging.... The current cases show successful conservative surgical management of ovarian torsion, hence preserving hormonal function and fertility in young women.... Although it is recommended to preserve fertility in young women affected by ovarian torsion, surgical overtreatment by means of oophorectomy is still common in clinical routine. Increasing awareness f...

Female Humans Ovarian Torsion Torsion Abnormality Ovarian Diseases +1 autres

Isolated Fallopian Torsion: A Pediatric Case Series.

Sep 2023

DOI: 10.1177/00031348231175118 PMID: 37204787

Isolated fallopian tube torsion is a rare cause of acute abdominal pain in adolescent females. It is known to be a surgical emergency as it may lead to ischemia of the fallopian tube which can result ...

Female Adolescent Humans Child Fallopian Tube Diseases +4 autres

Synchronous bilateral ovarian torsion followed by recurrent unilateral torsion in a patient undergoing fertility treatment: A case report and literature review.

Nov 2023

DOI: 10.1016/j.ejogrb.2023.08.015 PMID: 37734139

Ovarian torsion (OT) is a gynaecological emergency and requires prompt recognition and treatment in order to prevent the loss of ovarian function. Patients who are undergoing fertility treatment are a... The diagnosis of OT in patients undergoing fertility treatment can be challenging as they often present with abdominal pain and other non-specific symptoms. We highlight the importance of early diagno... A 32-year-old nulliparous woman who was undergoing controlled ovarian stimulation presented with lower abdominal pain and was initially managed as ovarian hyperstimulation syndrome (OHSS). Her pain di... Clinicians should have a low-threshold to investigate and rule out OT in patients who present with lower abdominal pain, especially in those with additional risk factors for torsion. Patients with con...

Humans Female Adult Ovarian Diseases Ovarian Torsion +3 autres

Fundus torsion following inferior oblique muscle weakening.

Feb 2024

DOI: 10.1016/j.jaapos.2023.10.010 PMID: 38253286

To determine the postoperative fundus torsion following surgical inferior oblique (IO) weakening in patients with inferior oblique overaction (IOOA).... In this interventional case series, 37 patients with IOOA ≥ +1 and reliable preoperative fundus photographs were included. IO weakening was accomplished through myectomy or anterior transposition. Fun... Mean age of patients (56% females) was 6.46 ± 6.79 years. At follow-up at least 3 months after surgery, the mean change of DFA was 7.79 ± 6.24° of reduction of extorsion after IO myectomy (P < 0.001) ... Using objective measurement of fundus photographs, fundus extorsion was decreased in 94.7% of patients after myectomy or anterior transposition....

Female Humans Child Adolescent Male +10 autres

Derotational distal femoral osteotomy yields better outcomes in patellar subluxation with proximal femoral torsion compared with distal femoral torsion: A retrospective comparative study.

08 Oct 2024

DOI: 10.1186/s13018-024-05123-x PMID: 39380005

Controversy exists regarding the origin of femoral torsion, and specific treatment rules regarding the optimal position of femoral osteotomy in patients with recurrent patellar subluxation and excessi... To establish a novel classification system for such patients, and to compare clinical and radiological outcomes after distal derotational femoral osteotomy (DDFO) between femoral torsion at proximal (... Between January 2014 and June 2019, patients who underwent DDFO were retrospectively reviewed. The segmental torsion analysis was performed to establish a novel classification system, and classify inc... Type I was defined as the proximal torsion. Type II was defined as the distal torsion. Proximal torsion group had lower postoperative femoral torsion (12.6 ± 2.6° vs. 14.8 ± 3.6°; P = .004) and higher... 92.0 ± 6.0 vs. 88.7 ± 5.8; P = .021) and Tegner activity score (5.2 ± 1.5 vs. 4.5 ± 1.4; P = .040), and fewer patellofemoral osteoarthritis (8.6% vs. 26.3%; P = .048). Two patients in the distal torsi... A novel classification system for patients with recurrent patellar subluxation and excessive femoral torsion based on segmental femoral torsion analysis was established. DDFO was more appropriate for ... Cohort study; Level of evidence, 3....

Humans Osteotomy Retrospective Studies Female Male +8 autres

A Case Report of Uterine Torsion in a Postmenopausal Female with a Large Leiomyoma.

2024

DOI: 10.3941/jrcr.v18i1.5035 PMID: 38910588

This case report discusses a diagnosis of uterine torsion in an 84-year-old woman who presented with five days of right lower quadrant abdominal pain, nausea, vomiting, constipation, and poor intake. ...

Humans Female Leiomyoma Aged, 80 and over Torsion Abnormality +6 autres

Laparotomy versus laparoscopy for the treatment of adnexal torsion during pregnancy.

30 Oct 2024

DOI: 10.1186/s12884-024-06898-x PMID: 39478483

Adnexal torsion (AT) is a rare emergency complication during pregnancy. Increasing evidence implies that operative laparoscopy for adnexal torsion performed during pregnancy could be safe and feasible... This was a retrospective study involving telephone questionnaire on adnexal torsion during pregnancy that occurred between July 2012 and July 2023 in the First Affiliated Hospital of Zhengzhou Univers... A total of 102 patients were treated by laparoscopy, and 53 patients were treated by laparotomy. Compared with the laparotomy group, the laparoscopy group had significantly less blood loss (17.5 ml vs... In this retrospective study, compared with laparotomy, laparoscopy yielded successful outcomes, with less surgical bleeding, less delayed wound healing, and shorter hospital stays. Laparoscopy could b...

Humans Female Pregnancy Laparoscopy Retrospective Studies +10 autres

Tubal mesosalpinx cysts combined with adnexal torsion in adolescents: a report of two cases and review of the literature.

14 Aug 2024

DOI: 10.1186/s12887-024-05001-9 PMID: 39143528

Tubal mesosalpinx cysts are paratubal cysts, that account for approximately 10% of adnexal masses, and the presence of these cysts combined with adnexal torsion is a rare acute abdominal condition, wi... The first patient was an 11-year-old girl with left lower abdominal pain for 5 days and fever with nausea and vomiting for 3 days, who was found to have a cystic pelvic mass on preoperative imaging an... Tubal mesosalpinx cysts combined with adnexal torsion are rare causes of acute lower abdominal pain. Early diagnosis and timely surgery are necessary to ensure ovarian and tubal function. Accurate pre...

Humans Female Adolescent Child Torsion Abnormality +3 autres

Anomalie de torsion : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Antéversion de l'os

Rétroversion de l'os

Volvulus intestinal

Torsion ovarienne

Rétroversion de l'utérus

Coxa vara

Coxa valga

Auteurs principaux

Sources (3534 au total)