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Ovarian torsion
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== Investigation == * USS - sensitivity 46-75%, but quite specific ** Rounded, enlarged, heterogenous appearance (oedema/engorgement/haemorrhage) ** Ovary may be located anterior to uterus rather than normal location lateral or posterior ** Multiple small follicles may be present ** Normal doppler flow does not exclude torsion (can be seen in up to 57% of patients with torsion) but if no flow if present, highly sensitive for torsion * Hcg, fbe, uec * Inflammatory markers generally normal
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