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VOLUME 7 , ISSUE 2 ( July-December, 2019 ) > List of Articles

RESEARCH ARTICLE

Adnexal Torsion: Clinical Study in a Tertiary Care Center in India

Sneha Mathimaaran, GN Vasantalakshmi

Keywords : Adnexal complex, Fertility, Histopathology, Laparoscopy, Laparotomy, Ovarian torsion, Polycystic ovary syndrome, Pregnancy reproductive age group, Ultrasonography

Citation Information : Mathimaaran S, Vasantalakshmi G. Adnexal Torsion: Clinical Study in a Tertiary Care Center in India. J South Asian Feder Menopause Soc 2019; 7 (2):68-70.

DOI: 10.5005/jp-journals-10032-1176

License: CC BY-NC 4.0

Published Online: 18-07-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: Adnexal torsion is a rare gynecological emergency. It involves females of all age groups. It requires early diagnosis and intervention in order to save the adnexa from irreversible injury. Our study elaborates on the clinical presentation, diagnosis, and management of adnexal torsion in a tertiary care center in India. Study design: Prospective study. Materials and methods: This is a clinical study conducted at Sri Ramachandra Medical Centre, Chennai, over a period of 1 year—January 2018 to January 2019. Results: Most cases of adnexal torsion presented with diffuse pain abdomen (64.2%), nausea, and vomiting (42.8%). About 60% were mainly found in the reproductive age group of 20–30 years. Five antenatal cases with adnexal torsion were observed (11%). Polycystic ovaries (21.4%) and hypothyroidism (50%) were the notable risk factors associated. Size more than 5 cm were increasingly associated with adnexal torsion. Ultrasound was used as a primary imaging modality although in few cases like pregnancy, large masses in which ultrasound was inconclusive computed tomography (CT) and magnetic resonance imaging (MRI) were more convincing. Laproscopy was the preferred mode of intervention with an attempt to conserve the ovary in childbearing age group. However, 24% of cases were converted to laparotomy in view of large size of the mass or hemodynamic instability. Conclusion: Adnexal torsion is one of the rare emergencies, which requires an expertise team for early diagnosis using imaging and clinical symptoms. Prompt surgical intervention is required to preserve the ovarian tissue especially in younger age group.


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