Adnexal Torsion: Review of the Literature

Sasaki, K.J.; Miller, Charles E.

doi:10.1016/j.jmig.2013.09.010

Cited by 207 publications

(185 citation statements)

References 58 publications

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“…Even after successful detorsion, the function of the affected ovary could be impaired. The presence of an ovarian mass has been linked to ovarian torsion; yet, little is known about its predictors and risk factors [14]. The most common cyst related to ovarian torsion is dermoid cyst.…”

Section: Discussionmentioning

confidence: 99%

Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study

Yaniv

Schonmann

Agizim

et al. 2018

Gynecol Obstet Invest

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Study Objective: The study aimed to evaluate whether there is an association between the ovarian ligament length and ovarian torsion. Design: This is a prospective cohort study. Design Classification: II.2. Setting: The study was conducted in the gynecology department of a university affiliated hospital. Intervention: We measured the length of the ovarian ligaments during laparoscopy. Patients: A total of 56 women were recruited, of which 28 women were operated for ovarian torsion (torsion group) and 28 others for other gynecologic conditions (control group). Measurement and Main Results: The study found correlations between ovarian ligament length and ovarian torsion. The length of the right (2.2 ± 0.6 cm) and left ovarian ligament (2.3 ± 0.8 cm) in the control patients were similar. Ovarian torsions occurred mainly on the right side (67.9 %). The right ovarian ligament was significantly longer in the torsion group (3.2 ± 0.9 cm) than in the control group (2.2 ± 0.6 cm; p < 0.001). Even after exclusion of patients with ovarian cyst, the ovarian ligament was still significantly longer in the torsion group as compared to the control group (3.2 ± 1.1 vs. 2.2 ± 0.6 cm respectively, p = 0.01). Conclusion: Our results suggest that increased length of ovarian ligament might be correlated with the development of ovarian torsion. This could be a basis for ovarian ligament fixation or oophoropexy at the time of conservative surgery for ovarian torsion.

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Section: Discussionmentioning

confidence: 99%

Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study

Yaniv

Schonmann

Agizim

et al. 2018

Gynecol Obstet Invest

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“…15 Because of the nonspecific signs and symptoms associated with ovarian torsion, a high index of suspicion is required when deciding whether to intervene surgically. 8 As the presenting symptoms and signs in postmenopausal women are indefinite and nonspecific, the diagnosis of adnexal torsion is not often considered. In postmenopausal women with abdominal and/or pelvic pain, more common reasons for acute pain such as urinary tract infection, diverticulitis, peptic disease and cholelithiasis are usually suspected.…”

Section: Discussionmentioning

confidence: 99%

“…In postmenopausal women with abdominal and/or pelvic pain, more common reasons for acute pain such as urinary tract infection, diverticulitis, peptic disease and cholelithiasis are usually suspected. 8 Ultrasonography (US) is important in such cases to exclude other causes and to confirm the diagnosis of torsion, especially if combined with Doppler evaluation of the adnexal blood flow. 16 The US image associated with adnexal torsion often shows a unilaterally enlarged ovary with a cyst, but this is not always the case.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 The differential diagnosis of adnexal torsion includes a list of gynecological conditions, such as pelvic inflammatory disease (PID), twisted ovarian cyst and degenerated myoma, as well as nongynecological conditions, such as acute appendicitis. 8 Because the clinical symptoms of adnexal torsion are nonspecific, the diagnosis is considered to be difficult, and a correct preoperative diagnosis is made in only 44% of cases. 5 However, hydrosalpinx, a blocked, dilated, fluidfilled fallopian tube usually caused by a previous tubal infection, could be a risk factor.…”

Section: Introductionmentioning

confidence: 99%

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Uncommon case of hydrosalpinx-induced adnexal torsion in a postmenopausal woman

Abbas

Ali

Michael

et al. 2017

Proc Obstet Gynecol

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“…Pain may be aggravated by food intake. Gynaecological conditions (20,21) in young children that may present as RAP include ovarian cyst, teratoma and dysmenorrhoea. These conditions should be considered if the pain is located more in the lower abdomen.…”

Section: Surgical Conditionsmentioning

confidence: 99%

Recurrent abdominal pain in children: a clinical approach

Sh¹

2015

smedj

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The term 'recurrent abdominal pain', or RAP, refers mainly to the duration of painful period and frequency of pain. The commonly accepted duration is at least three months in the preceding period, and over this three-month period, there are at least three episodes of pain that are severe enough to affect the daily activities of the affected patients. Over the years, with advances in medical technology and better understanding of the pathophysiology of abdominal pain, more and more organic causes have been identified. However, the most common cause of RAP in children is still functional in origin.

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Adnexal Torsion: Review of the Literature

Cited by 207 publications

References 58 publications

Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study

Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study

Uncommon case of hydrosalpinx-induced adnexal torsion in a postmenopausal woman

Recurrent abdominal pain in children: a clinical approach

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