Demographic, Clinical Symptoms, Imaging and Pathology Characteristics of Patients with Adnexal Torsion: A Ten-Year Study

Nouri, Behnaz; Ajori, Ladan; Ahmadvand, Zohreh; Fahimhi, Saba

doi:10.30699/jogcr.8.6.614

Document Type : Original Research Article

Authors

¹ Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

² Department of Obstetrics and Gynecology, Shohaday-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

³ Department of Obstetrics and Gynecology, Mahdiye Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

https://doi.org/10.30699/jogcr.8.6.614

Abstract

Background & Objective: Adnexal torsion is a complete or incomplete twisting of the ovary, fallopian tubes, or ovarian cyst around its vascular axis, which can cause blood flow disruption. This disorder is rare but serious and accounts for about 3% of women's emergency surgeries. Early diagnosis of this disease and the necessary surgeries are very important to preserve fertility. The purpose of this study is to investigate the epidemiology, clinical symptoms, imaging and pathology of patients with torsion of the adnexa referred to the emergency rooms of Mahdiyeh and Shohadaye Tajrish hospitals.
Materials & Methods: This study is a retrospective cross-sectional study. In the present study, 190 patients with torsion of the adnexa were examined in the period 2011–2021, in Mahdiyeh and Shohadaye Tajrish hospitals. Demographic, clinical and surgical information about patients was extracted from medical records. Data analysis was done using SPSS version 22 statistical software.
Results: The average age of 190 patients was 29.2. Most of the ovarian torsion patients had a history of more than one previous delivery (57.9%) and also, an ovarian mass was observed in 157 patients, and the ovarian mass of 146 patients was larger than 5 cm. The rate of ovarian preservation in this study was 61%. Hemorrhagic cysts were the most common type of cyst in patients and were reported in 37 patients.
Conclusion: It is necessary to identify effective diagnostic methods. Therefore, it may be useful to investigate more serum biomarkers for early detection of adnexal torsion and to reduce diagnostic errors.

Highlights

✅ It is necessary to identify effective diagnostic methods. Therefore, it may be useful to investigate more serum biomarkers for early detection of adnexal torsion and to reduce diagnostic errors.

Keywords

Main Subjects

General Gynecology and Pelvic Floor

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Journal of Obstetrics, Gynecology and Cancer Research

Demographic, Clinical Symptoms, Imaging and Pathology Characteristics of Patients with Adnexal Torsion: A Ten-Year Study

References

References

Volume 8, Issue 6 - Serial Number 35
November and December 2023
Pages 614-619

Demographic, Clinical Symptoms, Imaging and Pathology Characteristics of Patients with Adnexal Torsion: A Ten-Year Study

References

References

Volume 8, Issue 6 - Serial Number 35November and December 2023Pages 614-619

Volume 8, Issue 6 - Serial Number 35
November and December 2023
Pages 614-619