A review of ovary torsion

Ci, Huang; Hong, Mun-Kun; Ding, Dah-Ching

doi:10.4103/tcmj.tcmj_55_17

Cited by 112 publications

(104 citation statements)

References 79 publications

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“…We have shown that laparoscopic detorsion and cystectomy are feasible in adults and pregnant women with adnexal torsion ( Ding & Chen, 2005 ; Ding & Chang, 2016 ). Detorsion carries no risk of thrombosis ( Ashwal et al, 2015 ; Huang, Hong & Ding, 2017 ). In recent years, detorsion without cystectomy or adnexectomy has become more prevalent ( Ashwal et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

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A retrospective study of surgical treatment and outcome among women with adnexal torsion in eastern Taiwan from 2010 to 2015

Hong

Chu

et al. 2018

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BackgroundAdnexal torsion is a gynecologic emergency that requires surgical treatment. In this study, we reviewed the surgical outcomes of women with adnexal torsion in eastern Taiwan (Hualien county, area 4,629 km2, 330,000 residents).MethodsThis retrospective study included 42 women diagnosed with surgically-proven adnexal torsion from January 1, 2010, to September 31, 2015. We compared the symptoms, objective findings, and surgical outcomes of patients who underwent laparotomy or laparoscopy.ResultsThe laparoscopy and laparotomy groups included 27 and 15 patients, respectively. The most common symptom and sign was abdominal pain, followed by nausea and vomiting. In all patients, an adnexal tumor was detected through ultrasound. The median and range of time from admission to surgery was 1.5 (1–11.5) and 1.0 (1–11) hours in the laparotomy and laparoscopy groups, respectively. Compared with those undergoing laparotomy, the smaller tumor size [7 (4.2–10) vs. 10 (7–17) cm] and shorter hospital stay [4 (2–8) vs. 6 (3–9) days] in patients undergoing laparoscopy were significantly noted, respectively (P < 0.01). No differences were observed in age, operative time, and blood loss between both groups. The surgeries performed were mostly detorsion with cystectomy and adnexectomy. The most common pathology was a simple ovarian cyst, followed by teratoma. Regarding the surgical types, older age is the only risk factor for radical surgery.DiscussionAcute onset of abdominal pain with a presenting ovarian tumor is the most common feature of adnexal torsion. Laparoscopic surgical group showed a small tumor size and a short ER hospital stay than laparotomy. Older age is the risk factor for radical surgery.

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Section: Discussionmentioning

confidence: 99%

“…Adnexal torsion is a gynecologic emergency that requires surgical treatment ( Huang & Wang, 2011 ; Huang, Hong & Ding, 2017 ). It is defined as twisting of the ovary, fallopian tube, or adnexal mass, inducing adnexal torsion.…”

Section: Introductionmentioning

confidence: 99%

A retrospective study of surgical treatment and outcome among women with adnexal torsion in eastern Taiwan from 2010 to 2015

Hong

Chu

et al. 2018

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“…Adnexal torsion is a common etiology of young female with acute abdominal pain. [ 3 ] A 10-year retrospective study by Varras reported that the adnexal torsion was most commonly associated with benign lesions (89%), and usually occurred in patients <50 years (80%). [ 4 ] Our case is a rare condition that hydrosalpinx caused adnexal torsion.…”

Section: Discussionmentioning

confidence: 99%

Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman

Chen

Yeh

et al. 2018

Gynecol Minim Invasive Ther

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Hydrosalpinx in reproductive-age women without sexual experience is uncommon and may be asymptomatic. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. This report describes a 21-year-old female without history of sexual intercourse presented with right lower abdominal pain. Ultrasonography revealed right ovary about 4.2 cm × 3.6 cm in size with a well-defined, round cystic mass measuring 6.3 cm × 4.1 cm without septations. Diagnostic laparoscopic surgery showed a darkish right ovary and round-shaped cystic right hydrosalpinx that twisted at the infundibulopelvic ligament. Laparoscopic detorsion and salpingostomy were performed successfully. This case is a rare gynecologic situation with hydrosalpinx induced adnexa torsion, making it a rare presentation. Early diagnosis is important for preventing ovarian gangrene. Laparoscopy is a useful tool for diagnosing and treating tubal and ovarian torsion. It brings good prognosis if detorsion was performed within 24 h.

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“…Adnexal torsion is a rare emergency condition occurring at any age [ 1 ]. Adnexal torsion occurs in 2-15% of women who have had previous surgical treatment for adnexal masses or cysts [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Postmenopausal adnexal torsion: rare case report

Abdelazim¹,

Abu-Faza²,

Bekmukhambetov³

et al. 2020

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Most ovarian and/or adnexal torsions occur in reproductive age and are less common in postmenopausal age. A 49-year-old menopausal woman presented to the Emergency Department with abdominal pain. She had a palpable pelvi-abdominal mass and abdominal tenderness on examination. Departmental ultrasound and magnetic resonance imaging (MRI) showed a large multilocular right adnexal cyst (15 × 12 cm) containing fluid with variable signal intensities on both T1 and T2 sequences (stained glass appearance) – most probably mucinous cystadenoma. The studied woman signed an informed consent form and agreed to exploratory laparotomy and adnexectomy. After the pre-operative investigations, which were done according to the hospital protocol, including CA-125 (26 IU/ml) and anaesthesia consultation, she was scheduled for laparotomy. At laparotomy an ovarian cyst originating from the right ovary was found with evidence of torsion of the infundibulopelvic and utero-ovarian ligaments (adnexal torsion). The right adnexa including the right ovary containing the ovarian cyst and the right fallopian tube was excised (adnexectomy). The histological examination of the excised adnexa confirmed the diagnosis of mucinous cystadenoma of the ovary. This report represents a rare case of an adnexal torsion in postmenopausal woman, to highlight that adnexal torsion can occur at any age and that the presence of ovarian mass or cyst predispose to adnexal torsion at any age.

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A review of ovary torsion

Cited by 112 publications

References 79 publications

A retrospective study of surgical treatment and outcome among women with adnexal torsion in eastern Taiwan from 2010 to 2015

A retrospective study of surgical treatment and outcome among women with adnexal torsion in eastern Taiwan from 2010 to 2015

Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman

Postmenopausal adnexal torsion: rare case report

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