Conservative management of adnexal torsion

CT prediction of the degree of ovarian torsion

“…The degree of torsion is assumed to be related to ovarian necrosis, with more severe torsion associated with a greater risk of necrosis [3]. According to a previous study, when the ovarian torsion angle was <360° blood flow to the ovary recovered after untwisting of the torsion, and ovary preservation was possible [4]. In another study, when the ovarian torsion angle was <360°, the ovaries were normal in color after manual detorsion and were salvaged [5].…”

“…Development of ovarian necrosis depends on torsion angle [3]. Necrosis rarely occurs when the ovarian torsion angle is <360° [4,5].…”

Simultaneous bilateral ovarian torsion in the follicular phase after gonadotropin stimulation

“…In instances of contralateral torsion following unilateral salpingoophrectomy, conservative management with untwisting and oophoropexy of the remaining ovary has been advocated (7). Most reported cases in recent years advocate conservative management (8,9) in the absence of obvious tissue necrosis. However, in any case of conservative management of ovarian torsion, the patient should be apprised of the need for close follow-up and the potential risk of a retained, necrotic ovary.…”

Diagnostic de torsion d'annexe : existe-t-il des signes prédictifs de nécrose ?

“…Une hyperleucocytose est présente dans 36,5 % des cas de notre série dont 21 % des cas associés à une torsion d'annexe. Bien que sa fréquence ait été signalée dans d'autres études [12,15], l'hyperleucocytose est un paramètre non spécifique retrouvé chez la femme enceinte ou dans de nombreuses affections du pelvis.…”