Torsion
Torsion refers to the twisting of an organ or other body part around its long axis. It is a medical condition that can occur in various parts of the body, including the testis, ovary, lung, and intestine. Torsion can lead to a number of complications, such as ischemia, necrosis, and infarction, due to the obstruction of blood flow to the affected organ.
Causes
Torsion can be caused by a number of factors, including anatomical abnormalities, trauma, and certain medical conditions. For example, testicular torsion is often caused by an anatomical abnormality known as a "bell clapper deformity," in which the testis is not properly anchored within the scrotum. This allows the testis to rotate freely, increasing the risk of torsion.
Symptoms
The symptoms of torsion can vary depending on the organ affected. In general, symptoms may include severe pain, swelling, and redness in the affected area. In the case of testicular torsion, additional symptoms may include nausea, vomiting, and abdominal pain.
Diagnosis
Torsion is typically diagnosed through a combination of physical examination and imaging studies. Ultrasound is often used to visualize the affected organ and assess blood flow. In some cases, surgical exploration may be necessary to confirm the diagnosis.
Treatment
The treatment of torsion typically involves surgery to untwist the affected organ and restore blood flow. In some cases, the organ may need to be removed if it has been severely damaged.
See also
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Contributors: Prab R. Tumpati, MD