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Updated: Jul 12, 2025

Development of a Uterosacral Ligament Suspension Rat Model
Published on: August 17, 2022
Isolated torsion of the utero-ovarian ligament
Audrey Hla1, Justin Harold2, Vaagn Andikyan2
1Obstetrics and Gynecology Residency University of Connecticut Health Center Connecticut Farmington USA.
Key Clinical Message:
Isolated utero-ovarian torsion poses a challenge to diagnosing adnexal torsion, as it may not present with imaging findings. Clinicians with high suspicion for torsion but lack of evidence on ultrasonography should proceed to diagnostic laparoscopy.
Abstract:
Adnexal torsion occurs when the ovary rotates around its supporting ligaments, the infundibulopelvic and utero-ovarian (UO) ligaments, often causing disruption of blood supply. This pathology often presents with acute pelvic pain and is a gynecologic surgical emergency. Diagnosis is typically made with Doppler ultrasound, although dual blood supply to the ovary poses additional diagnostic challenges and sensitivity of this tool is debated. In this case study, we present a case of missed torsion due to isolated compromise of UO ligament.
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