Ovarian torsion: determining the presenting features and where the delays occur

Improving torsion recognition and expediting both imaging and surgery should reduce oophorectomy rates. Women presenting with symptomatic ovarian cysts without torsion should be adequately counselled on the risk of future torsion events and encouraged to seek acute medical attention for changes in symptoms. Additionally, more study is needed to determine if relying on computed tomography (CT) findings alone (e.g., presence of ovarian cysts more than 5cm) in the presence of symptoms suggestive of ovarian torsion can reduce time to diagnosis and improve surgical outcomes, compared to the commonly used CT followed by ultrasound.