Diagnostic accuracy of ultrasound signs for detecting adnexal torsion: systematic review and meta‐analysis

Garde, I; Paredes, Carmen; Ventura, L; Pascual, M.; Ajossa, Silvia; Guerriero, S.; Vara, J.; Linares, Marta; Alcázar, Juan Luis

doi:10.1002/uog.24976

Cited by 8 publications

(4 citation statements)

References 37 publications

(336 reference statements)

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“…Một nghiên cứu tổng quan và phân tích hệ thống khác được thực hiện năm 2022, ghi nhận kết quả như sau: Bảng 1: Giá trị của các dấu hiệu xoắn trên siêu âm [11] Độ nhạy (sensitivity)…”

Section: Tóm Tắt Bệnh áNunclassified

Nhân một trường hợp xoắn u lạc nội mạc tử cung ở buồng trứng tại Bệnh viện Hùng Vương

Nguyễn Xuân,

Nguyễn Minh,

Phùng Hương

2023

PNTJMP

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Xoắn u nang lạc nội mạc tử cung ở buồng trứng là một thể bệnh rất hiếm gặp, xuất hiện ở phụ nữ trẻ là chủ yếu. Chẩn đoán còn gặp rất nhiều khó khăn do triệu chứng lâm sàng có sự chồng lấp giữa bệnh lý lạc nội mạc tử cung và xoắn phần phụ. Chúng tôi báo cáo 1 trường hợp bệnh nhân nữ, 20 tuổi, chưa quan hệ tình dục, đau hố chậu phải kèm buồn nôn, trên siêu âm có nang lạc nội mạc tử cung buồng trứng phải phù nề, whirlpool (+). Bệnh nhân được phẫu thuật nội soi tháo xoắn và bóc u nang buồng trứng. Kết quả giải phẫu bệnh: nang lạc nội mạc tử cung ở buồng trứng phải. Abstract Ovarian torsion with endometrioma is rare but especially occurs in young women. Because of the alike symptoms between endometrioma and ovarian torsion, the diagnosis is challenging. We report a 20 - year - old, virgin woman with right lower pelvic pain. Abdominal ultrasonography showed an endometrioma cyst with edema tissue, a whirlpool sign of twisted vascular pedicle. The patient underwent a laparoscopy to retwist right ovarian torsion. Histopathological results a confirmed ovarian endometrioma.

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Section: Tóm Tắt Bệnh áNunclassified

Nhân một trường hợp xoắn u lạc nội mạc tử cung ở buồng trứng tại Bệnh viện Hùng Vương

Nguyễn Xuân,

Nguyễn Minh,

Phùng Hương

2023

PNTJMP

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“…Ultrasound is the gold standard for ovarian cyst torsion; it eliminates differential diagnosis and identifies factors that may favor torsion, such as cyst visualization. According to the literature, the ultrasound signs that may suggest the diagnosis of adnexal torsion are: ovarian edema, adnexal mass, whirlpool sign, absent ovarian Doppler flow, pelvic fluid [5]. However, ultrasound exploration of the adnexa is difficult during pregnancy because of the increased size of the uterus and the retro-uterine position of the adnexa during pregnancy, especially during the second and third trimesters.…”

Section: Introductionmentioning

confidence: 99%

Adnexal Torsion and Epiploic Appendigitis in Pregnant Women: Case Report

Oumayma Ben,

Amal,

Cyrine

et al. 2024

Obstet Gynecol Cases Rev

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Adnexal torsion is a surgical emergency that cannot be ignored in women. It is a diagnostic and therapeutic challenge. While the occurrence of adnexal torsion in pregnant women is rare, it still can present significant risks. We present the case of a 23-year-old woman, pregnant at 24 weeks of amenorrhea and consulted for an acute abdominal pain. She underwent exploratory laparoscopy, which revealed ovarian torsion caused by a functional cyst along with epiploic appendigitis. During the procedure, we punctured the cyst, detorsed the adnexa and resected the epiploic appendigitis. The postoperative follow-up was favourable. Ultrasound at 2 weeks showed continued pregnancy.

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“…To confirm the diagnosis, pelvic ultrasound with or without Doppler flow analysis is widely used 4. However, its contribution is low, with a sensitivity ranging from 46% to 73% depending on the study and recently confirmed by a meta-analysis 5 6. Other imaging techniques have been considered, such as MRI, with much greater sensitivity than ultrasound.…”

Section: Introductionmentioning

confidence: 99%

Contribution of contrast-enhanced ultrasound in the diagnosis of adnexal torsion (AGATA): protocol for a prospective comparative study

Pillot,

Hossu,

Cherifi

et al. 2023

BMJ Open

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IntroductionAdnexal torsion is a surgical emergency and its prognosis depends on the time elapsed prior to treatment. The diagnosis relies on pelvic ultrasound in which sensitivity remains low and may lead to misdiagnosis.The primary objective is to evaluate the diagnostic performance of contrast-enhanced ultrasound for the diagnosis of adnexal torsion in women with suspected adnexal torsion. The secondary objectives are: (1) to describe the perfusion parameters of the ovaries by contrast-enhanced ultrasound, (2) to compare diagnostic performance of contrast ultrasound with bidimensional (2D) Doppler for the detection of adnexal torsion, (3) to describe the perfusion parameters of the ovarian as a function of the degree of adnexal torsion, (4) to compare perfusion parameters before and after ovarian detorsion and (5) to describe perfusion parameters of the ovarian by using MicroVascular Flow technique.Methods and analysisThis is a monocentric, prospective comparative, non-randomised, open and interventional study. We hypothesise to include 30 women: 20 positive cases compared with 10 control cases. Women are informed and recruited in the emergency ward, over a period of 36 months.The primary endpoint is the signal intensity measurement to assess sensitivity, specificity, positive and negative predictive values of contrast-enhanced ultrasound for detection of adnexal torsion in women with suspected adnexal torsion. The presence or absence of adnexal torsion is confirmed during the surgical intervention.Ethics and disseminationThe study was approved by the French Ethics Committee, the CPP (Comité de Protection des Personnes) OUEST I on 3 July 2020 with reference number 2020T1-16. The results of this study will be published in a peer-reviewed journal and will be presented at relevant conferences.Trial registration numberClinicalTrials.gov registry (NCT04522219); EudraCT registry (2020-000993-27).

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Diagnostic accuracy of ultrasound signs for detecting adnexal torsion: systematic review and meta‐analysis

Cited by 8 publications

References 37 publications

Nhân một trường hợp xoắn u lạc nội mạc tử cung ở buồng trứng tại Bệnh viện Hùng Vương

Nhân một trường hợp xoắn u lạc nội mạc tử cung ở buồng trứng tại Bệnh viện Hùng Vương

Adnexal Torsion and Epiploic Appendigitis in Pregnant Women: Case Report

Contribution of contrast-enhanced ultrasound in the diagnosis of adnexal torsion (AGATA): protocol for a prospective comparative study

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