Management after detorsion in an adult* patient with a first episode^¶ of ovarian torsion and normal contralateral ovary

* Pediatric patients may be managed differently; refer to related UpToDate content for a detailed discussion.
¶ Patients experiencing a second episode of ovarian torsion or who have had an oophorectomy on the contralateral side may be managed differently (ie, oophoropexy may be performed); refer to related UpToDate content for a detailed discussion.
Δ An ovary that is dark and enlarged, with or without hemorrhagic lesions, is most likely still viable. Ovarian necrosis is rare. The appearance on gross inspection of a necrotic ovary or tube includes a gelatinous or poorly defined structure that "falls apart" when manipulated. Detorsion is often performed in order to assess viability. Bivalving of the ovary is another technique that can be used to assess viability. Refer to related UpToDate content for a detailed discussion.
◊ Cystectomy or cyst drainage is often performed in addition to detorsion if a benign mass or cyst is present; refer to related UpToDate content for a detailed discussion.