A Five-Year Review of Ovarian Torsion Cases: Lessons Learnt

Gupta, Avantika; Gadipudi, Avanthi; Nayak, Deepthi

doi:10.1007/s13224-020-01319-3

Cited by 10 publications

(20 citation statements)

References 19 publications

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“…Detorsion with ovarian fixation was done in four cases (14.28%), detorsion with cystectomy in 10 (35.71%), salpingo-oophorectomy in 11 cases (39.28%), and abdominal hysterectomy with BSO in three cases (10.71%). Similar results were also reported by a retrospective study involving 81 cases where 30 (37.0%) underwent detorsion with cystectomy [ 6 ]. Another study done in Turkey had 10.6% of cases who underwent total abdominal hysterectomy-bilateral salpingo-oophorectomy (TAH-BSO) under laparotomy [ 13 ].…”

Section: Discussionsupporting

confidence: 90%

“…Torsion of the right ovary was more common than the left, probably due to the presence of a sigmoid on the left side and a longer right ligament of the ovary [ 20 ]. The current study had the presence of twists with a median value of 2.0 which coincided with the finding of a retrospective study from Southern India involving 81 cases [ 6 ].…”

Section: Discussionsupporting

confidence: 89%

“…In our study also, the majority of the women (71.4%) were of reproductive age. The median age of women with ovarian torsion in the present study was 24 years which is comparable to the study by Gupta et al (26 years) [ 6 ]. The most common pathologic conditions are mature cystic teratomas, followed by corpus luteum and para-tubal cysts, respectively.…”

Section: Discussionsupporting

confidence: 87%

“…In our study, right-sided torsion was seen in 16 cases (57.14%), left-sided in 11 cases (39.28%), and bilateral in one case (3.57%), who was a postmenopausal woman with an adnexal mass on both ovaries. A similar predominance of right-side torsion was reported in a study from Pondicherry, India [ 6 ]. Torsion of the right ovary was more common than the left, probably due to the presence of a sigmoid on the left side and a longer right ligament of the ovary [ 20 ].…”

Section: Discussionsupporting

confidence: 84%

“…Regarding pathological findings, the commonest presentation in the current study was dermoid cyst (33.3%) whereas Balci et al reported teratoma (32.0%) and follicular cyst (14.6%) as the commonest [ 13 ]. Extensive necrosis/infarction (78.3%) was reported by Gupta et al among ovarian torsion cases who underwent radical surgery [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Adnexal Torsion: A Retrospective Analysis From a Tertiary Care Teaching Hospital in Northern India

Verma¹,

Bhuria²,

Chauhan³

et al. 2021

Cureus

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BackgroundAdnexal torsion is an acute gynecological emergency presenting with acute abdomen which can be missed owing to non-specific symptoms. Among reproductive-age women, conservative surgery is preferred. The present study was a retrospective analysis of adnexal torsion cases reported to a tertiary care teaching hospital in Northern India. The purpose of the study was to describe the demography, clinical features, diagnostic and treatment modalities, and prognosis of adnexal torsion cases. MethodsSurgically proven adnexal torsion case records were retrieved and data were entered in an excel sheet from a period of two and half years from January 2018 to June 2020. ResultsThere were 28 cases with an age range of 7-85 years (median age 24 years) with lower abdominal pain and nausea/vomiting symptoms. The majority were in the reproductive age group (71.4%). A Colour Doppler was done which detected 75% (12/16) of the ovarian torsion cases. The size of the adnexal torsion was 5-10 cm in 60.7% with right-sided torsion seen in 57.14%. Detorsion and salpingo-oophorectomy was done in 14 (50%) and 11 (39.2%) cases, respectively. Histopathological examination revealed hemorrhagic/necrotic infarcts (54.2%) and dermoid cysts (33.3%). ConclusionsOwing to non-specific symptoms, adnexal torsion is diagnosed with strong clinical suspicion as routine ultrasonography diagnosed only 7.1% in the present study. Conservative surgery is preferred in the reproductive age group.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Adnexal Torsion: A Retrospective Analysis From a Tertiary Care Teaching Hospital in Northern India

Verma¹,

Bhuria²,

Chauhan³

et al. 2021

Cureus

View full text Add to dashboard Cite

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Changing Practices in the Surgical Management of Adnexal Torsion

Ryles

Hong

Andy

et al. 2023

Obstetrics &Amp; Gynecology

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Acute pain abdomen in adolescents: a gynecologist’s dilemma

Priya,

Arpana,

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Ovarian torsion is 5th most common emergency in gynecology. Benign functional ovarian cysts and benign teratomas are most common among ovarian torsion. Aims and objectives were to study the outcome and HPE of all adolescent girls presenting with acute pain abdomen at BGS GIMS, Bangalore. Methods: A study was conducted at BGS GIMS from 2020 to 2022 of all children and adolescents presenting with acute pain abdomen. Study included data consisting of age, complaints, investigations, intervention and HPE was collected and analysed. Results: There were 21 cases between 12- and 21-years age group who presented with acute pain abdomen in the study period. Majority of them were of 16-19 years age group. Out of 21 cases, 100% of them presented with acute pain abdomen. Operative procedures included 15 (71%) exploratory laparotomy and 6 (29%) operative laparoscopies. Ovarian torsion was seen in 11 cases of which 2 cases had bilateral ovarian torsion and 9 cases had unilateral torsion. Ovarian cystectomy was done in 7 patients, unilateral oophorectomy in 3 patients and unilateral salpingo-oophorectomy in 6 patients. Histopathology reports showed 5 cases of serous cystadenoma, 1 case of teratoma and others were mostly simple cyst or corpus luteal cysts. Conclusions: Acute pain abdomen in adoloscents should be diagnosed early to prevent from risk of ovarian torsions. Operative procedures should aim at fertility preservation.

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A Five-Year Review of Ovarian Torsion Cases: Lessons Learnt

Cited by 10 publications

References 19 publications

Adnexal Torsion: A Retrospective Analysis From a Tertiary Care Teaching Hospital in Northern India

Adnexal Torsion: A Retrospective Analysis From a Tertiary Care Teaching Hospital in Northern India

Changing Practices in the Surgical Management of Adnexal Torsion

Acute pain abdomen in adolescents: a gynecologist’s dilemma

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