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Ovarian Torsion

Ovarian torsion is when an ovary (often with a cyst or mass) twists on its blood supply, cutting off blood flow and threatening the ovary's survival.

When to get help quickly: It is a surgical emergency. Sudden severe one-sided pelvic pain in a woman or girl, especially with nausea, vomiting, or a known ovarian cyst, needs immediate hospital review.

Common symptoms

Sudden, severe, one-sided lower abdominal pain, often with nausea and vomiting; pain may come and go if the ovary partially twists and untwists.

When imaging helps

Imaging confirms the twist, shows whether the ovary still has blood flow, and identifies any underlying cyst or mass driving the torsion.

What radiology does

Pelvic ultrasound with Doppler is the first test; it shows the ovary's size, blood flow, and any associated mass.

What usually happens next

Most cases need urgent surgery (often laparoscopic) to untwist the ovary and preserve it; delay risks loss of the ovary.

About this explanation. This entry explains common radiology language and when imaging may help. It cannot tell you what is happening in your specific case. Your official report, history, examination, and treating care team determine what the finding means for you.

Seen this on your report?

Your doctor or the radiologist who wrote it can tell you what it means for you.

Report words explained