Adnexal torsion: Can the adnexa be saved?

Bayer, Andrea I.; Wiskind, Anne K.

doi:10.1016/0002-9378(94)90393-x

Cited by 139 publications

(90 citation statements)

References 11 publications

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“…Several studies have cited the importance of early intervention in the possibility of ovarian salvage. 3,18,20 However, more patients in this study had no venous or arterial flow when they had abdominal pain of 1 day or less compared with those who had longer dura- tions of pain. One possibility is that the patients waiting a longer period may have had less severe pain than the patients who sought care earlier, thereby raising the possibility that this subset of patients had intermittent torsion.…”

Section: Discussionmentioning

confidence: 68%

Preoperative Sonographic and Clinical Characteristics as Predictors of Ovarian Torsion

Shadinger¹,

Andreotti²,

Kurian³

2008

Journal of Ultrasound in Medicine

168

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Objective. The purpose of this study was to determine the most closely associated sonographic and clinical characteristics of ovarian torsion. Methods. The medical records and sonographic studies of 39 patients with pathologically proven ovarian torsion diagnosed at our institution from July 1, 2000, through December 31, 2005, were retrospectively reviewed. The volumes of the affected ovaries and ovary/mass complexes were compared with an age-appropriate standard. Statistical significance of the data was assessed by a likelihood ratio χ 2 analysis. Results. All patients (100%) had a chief symptom of abdominal pain. Thirty-three (85%) reported vomiting; 22 (56%) had leukocytosis; and 7 (18%) had a documented elevated temperature. All affected ovaries and ovary/mass complexes were enlarged. Twenty-one (54%) had arterial flow on Doppler interrogation, and 18 (46%) had no arterial flow. Thirteen (33%) had venous flow, and 26 (67%) had no venous flow. Differences in the arterial and venous flow patterns between the premenarchal and reproductive age groups were not statistically significant. Conclusions. Abdominal pain, vomiting, ovarian enlargement, and absence of ovarian venous Doppler flow are the most frequently shown clinical and sonographic indicators of ovarian torsion. However, ovarian enlargement, even in the presence of arterial and venous Doppler flow, is the most commonly associated sonographic finding. Suspicion of ovarian torsion should be high in the setting of clinical symptoms and ovarian enlargement regardless of the presence or absence of an ovarian Doppler signal.

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Section: Discussionmentioning

confidence: 68%

Preoperative Sonographic and Clinical Characteristics as Predictors of Ovarian Torsion

Shadinger¹,

Andreotti²,

Kurian³

2008

Journal of Ultrasound in Medicine

168

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“…Adnexal torsion remains as one of the most challenging conditions to diagnose pre-operatively [8]. The presence of lower abdominal pain and symptoms like nausea and vomiting, in association with an ovarian enlargement (solid, cystic or complex) usually implies torsion.…”

Section: Discussionmentioning

confidence: 99%

“…The location of the torsed ovary is mediosuperior to its original location [10]. In many cases, it has been noted that in torsion adnexa, when the ovary is enlarged, the neoplasm has been found to be benign [3,[5][6][7][8][11][12].…”

Section: Discussionmentioning

confidence: 99%

Clinico-Pathological Profile of Adnexal Torsion Cases: A Retrospective Analysis from A Tertiary Care Teaching Hospital

Vijayalakshmi

Reddy

Subbiah

et al. 2014

JCDR

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“…Ancak kesin tanıyı koymak, over torsiyonunun belirtilerinin özgün olmaması nedeniyle her zaman çok kolay olmamaktadır. Doğru ve erken tanı koymak, özellikle genç yaş-taki hastalarda overin kurtarılması ve ilerleyen yıllarda fertilitenin korunması açısından önem-lidir (1). Ayrıca tanıdaki gecikmeler, çok nadir olarak tromboflebite ve ciddi peritonite yol aça-bilir (2).…”

Section: Introductionunclassified

Over Torsiyonuna Genel Bakış

Boynukalın¹,

Güven²,

Güven³

et al. 2016

Kocatepe Tıp Dergisi

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ÖZOver torsiyonu nadir görülen ancak ciddi sonuçlara yol açabilecek jinekolojik acillerden biridir. Over torsiyonu tanısı her zaman kolay olmamaktadır. Gri skala ultrasonografi (USG) her ne kadar over torsiyonu için özgün bulgular ortaya koymasa da ilk başvurulan görüntüleme yöntemi-dir. Doppler USG ile kan akımının gösterilmiş olması over torsiyonu tanısını ekarte ettirmese de, kan akımınının belirlenmemesi tanıyı destekleyici bulgulardandır. Cerrahi öncesi over torsiyonu tanısında güvenilirliği ve duyarlılığı yüksek serum belirteci henüz tanımlanmamıştır. Hızlı tanı ve cerrahi tedavi, hastanın fertilitesinin; overinin korunmasının temelidir. Bu derlemenin amacı over torsiyonu konusunda genel değerlendirme yapmaktır.Anahtar Kelimeler: Over torsiyonu, IL-6, iskemi modifiye albumin, D-dimer, IL-8, USG, doppler USG. ABSTRACTTorsion of the ovary is rare but serious cause of gynecologic emergency. Diagnosis of ovarian torsion (OT) is difficult. Ultrasonography has no specific finding for diagnosis of OT, it is initial imaging technique. Presence of vascular flow detected by doppler USG doesn't exclude diagnosis of OT but, absence of vascular flow is suspicious for diagnosis. The main challenge about diagnosis is that many of patients undergo surgery without confirmed diagnosis while rapid clinical workup and surgical treatment are keys to preserve fertility. Specific biomarkers supporting diagnosis of OT aren't currently available. Aim of article is to make an overview of OT.

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Adnexal torsion: Can the adnexa be saved?

Cited by 139 publications

References 11 publications

Preoperative Sonographic and Clinical Characteristics as Predictors of Ovarian Torsion

Preoperative Sonographic and Clinical Characteristics as Predictors of Ovarian Torsion

Clinico-Pathological Profile of Adnexal Torsion Cases: A Retrospective Analysis from A Tertiary Care Teaching Hospital

Over Torsiyonuna Genel Bakış

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