[Adnexal torsion: a report of 135 cases]

J Gynecol Obstet Biol Reprod (Paris). 2003 Oct;32(6):535-40.
[Article in French]

Abstract

Objectives: To evaluate the clinical findings and therapeutic options following adnexal torsion.

Study design: A retrospective series of 135 patients presenting with adnexal torsion between January 1992 and December 2001 in Sousse- Tunisia- a university teaching hospital.

Results: Adnexal torsion accounted for 14.8% of surgically treated adnexal tumors. Pregnancy was associated in 17% of cases and diagnosis was accurate at first clinical examination in only 57.8% of cases. Ultrasound allowed visualisation of Adnexal Diseases in all cases. Operative laparoscopy was successfully achieved in 34% of patients. Conservative management was used in 57% of the premenopausal patients. No major postoperative complication was noted.

Conclusion: Clinicians must be aware of a possible adnexal torsion in women with acute pelvic pain. Ultrasound is a useful tool in these situations. Laparoscopy allows diagnosis and surgical management even during pregnancy.

Publication types

  • English Abstract

MeSH terms

  • Abdominal Pain / etiology
  • Adnexal Diseases / diagnosis*
  • Adnexal Diseases / surgery*
  • Adolescent
  • Adult
  • Aged
  • Child
  • Female
  • Humans
  • Laparoscopy*
  • Middle Aged
  • Ovarian Neoplasms / diagnosis
  • Ovarian Neoplasms / surgery
  • Pregnancy
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / surgery
  • Retrospective Studies
  • Torsion Abnormality / diagnosis
  • Torsion Abnormality / surgery