Adnexal torsion: clinical, radiological and pathological characteristics in a tertiary care centre in Southern India

Mohan, Swapna; Thomas, Mariam; Raman, Jayasree

doi:10.5455/2320-1770.ijrcog20140968

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…4 In a study from southern India, among women presenting with adnexal torsions, serous and mucinous ovarian cysts contributed to 50% of the patients. 5 In this study simple and hemorrhagic ovarian cysts were the most common reasons after excluding ectopic pregnancy.…”

Section: Discussionmentioning

confidence: 63%

“…Like most other studies, abdominal pain, nausea/vomiting, bleeding per vaginum, cervical tenderness and palpable mass on vaginal examination are the common symptoms and signs in women with adnexal masses. [5][6][7] Urine gravindex test should be mandatory in all women presenting with adnexal mass. This test is useful to differentiate ectopic pregnancy from other adnexal masses and is also positive even in women with tubal ligations.…”

Section: Discussionmentioning

confidence: 99%

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Acute abdomen with adnexal masses in the reproductive age group: diagnosis and management

Murki

Kamineni

Velagapudi

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Women with adnexal masses can present with acute symptoms such as abdominal pain, nausea and vomiting. As there is insufficient evidence on the frequency, presentation and management of adnexal masses we conducted this study to evaluate the clinical profile, surgical findings and histopathology of adnexal masses in women presenting with acute abdomen and needing surgical intervention.Methods: In this prospective observational study, history, examination, investigations and ultrasound of abdomen and pelvis were evaluated in women presenting with acute abdomen with adnexal mass and needing surgical intervention. Diagnosis was confirmed from the operative findings and histopathology. Etiology and its correlation with clinical symptoms and signs and radiological diagnosis formed the primary objective of the study.Results: Of the 79 patients enrolled in the study, the mean age was 30.82±6.69 years. Younger women were likely to have ectopic pregnancy while older women (>35 years) other tubal pathologies. Pain abdomen (n=70) and nausea (n=53), bleeding per vagina(n=33), menstrual irregularities (n=18), fever (n=10) abdominal distension (n=10) and dysuria (4) were the common symptoms. Etiology of the adnexal mass was ectopic pregnancy (57%), ovarian mass (34%), tubal mass (7.5%), tube and ovary (2.5%) in 46, 25, 6 and 2 patients respectively. 61% (n=48) of the women underwent laparoscopic management. Women with ruptured ectopic pregnancy were more likely to have abdominal distension, pallor, hypotension, cervical motion tenderness and need for blood transfusions.Conclusions: In women from reproductive age group with adnexal mass and needing surgery, ectopic pregnancies and benign ovarian tumours were the common etiologies. Urine pregnancy test and ultrasound are useful tests to differentiate ectopic from ovarian and tubal pathology.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Acute abdomen with adnexal masses in the reproductive age group: diagnosis and management

Murki

Kamineni

Velagapudi

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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“…5 In present case the massive size itself was a risk factor. Most common presentation is acute pain 6 The presentation in this case was with pain abdomen but of low intensity with associated rectal and urinary problems.…”

Section: Discussionmentioning

confidence: 77%

Torsion of ovarian mass-A diagnostic dilemma to tissue diagnosis

Ahuja¹,

Agarwal²,

Srivastava³

et al. 2021

IJMPO

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A holistic and multidisciplinary approach is required for ovarian cancer diagnosis and management. Ovarian tumor diagnosis is based on clinical symptomatology followed by radiological confirmation. Tumor markers are considered just adjunct. Management of ovarian mass is surgical and intra -op frozen section aids in understanding the nature of the mass but histopathology is definitive. Ovarian torsion affects 2.5 to 7.4% of all ovarian tumors. The present case will highlight the destructive changes brought about by torsion which could ultimately result in missed tissue diagnosis.

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“…Early diagnosis can help in avoiding permanent ovarian and Fallopian tube damage. [ 7 ] Adnexal torsion lacks specific clinical signs and symptoms, which makes it difficult to be diagnosed preoperatively. Even if Doppler demonstrates vascularity, a high index of suspicion and prompt surgical intervention is required to retain ovarian function.…”

Section: Discussionmentioning

confidence: 99%

Fallopian tube autoamputation after acute large endometrioma torsion

Atileh

Khalifeh

2022

Gynecol Minim Invasive Ther

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Adnexal torsion is the fifth most common gynecological emergency. However, endometrioma torsion is a very rare entity due to the associated pelvic adhesions. A 26-year-old woman presented to the emergency department complaining of acute lower abdominal pain for the past 6 h. Physical examination showed localized left iliac fossa tenderness. Ultrasound showed a 13 cm endometrioma with a normal color Doppler. Laparoscopy revealed a 13 cm large endometrioma arising from the left ovary. The left Fallopian tube was amputated at its attachment to the left cornua. Reconstruction of the ovary was done and the specimen was retrieved through the umbilicus inside a bag. Autoamputation of the Fallopian tube alone, although very rare, is typically associated with a preceding torsion. It is critical to be aware of adnexal torsion, as it can have implications for future fertility. Therefore, laparoscopic detorsion and cystectomy are the gold standard management.

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Adnexal torsion: clinical, radiological and pathological characteristics in a tertiary care centre in Southern India

Cited by 4 publications

References 11 publications

Acute abdomen with adnexal masses in the reproductive age group: diagnosis and management

Acute abdomen with adnexal masses in the reproductive age group: diagnosis and management

Torsion of ovarian mass-A diagnostic dilemma to tissue diagnosis

Fallopian tube autoamputation after acute large endometrioma torsion

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