Early Polycystic Ovary Syndrome as a Possible Etiology of Unexplained Premenarcheal Ovarian Torsion

Shah, Anish A.; Likes, C.E.; Price, Thomas M.

doi:10.1016/j.jpag.2008.11.005

Cited by 16 publications

(14 citation statements)

References 22 publications

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“…Unexplained ovarian torsion in adolescents and young adults with PCOD has been reported [20]. Our data also showed few cases of polycystic ovaries which have undergone torsion.…”

Section: Discussionsupporting

confidence: 72%

Five Year Retrospective Case Series of Adnexal Torsion

Nair

Joy

Nayar

2014

JCDR

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“…Unexplained ovarian torsion in adolescents and young adults with PCOD has been reported [20]. Our data also showed few cases of polycystic ovaries which have undergone torsion.…”

Section: Discussionsupporting

confidence: 72%

Five Year Retrospective Case Series of Adnexal Torsion

Nair

Joy

Nayar

2014

JCDR

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“…Anish and colleagues suggested that polycystic ovary syndrome (PCOS) may be an underlying cause of unexplained ovarian torsion (Shah et al, 2009). Early diagnosis allows for conservative treatment in adolescents whom desire future fertility.…”

Section: Figure 1 Roc Curve Analysis For Plr In Prediction Of Adolesmentioning

confidence: 99%

Value of the Platelet to Lymphocyte Ratio in the Diagnosis of Ovarian Neoplasms in Adolescents

Özakşit

Tokmak²,

Kalkan³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: Relationships between poor prognosis of ovarian malignancies and changes in complete blood count parameters have been proposed previously. In this work, we aimed to evaluate clinicopathologic features in adolescents with adnexal masses and sought to establish any predictive value of the platelet to lymphocyte ratio (PLR) in diagnosis. Materials and Methods: This retrospective study was conducted on 196 adolescent females with adnexal masses. Three groups were constituted with respect to clinical or histopathology results: group 1, non-neoplastic patients (n:65); group 2, neoplastic patients (n:68); and group 3 expectantly managed patients (n:63). The main parameters recorded from the hospital database and patient files were age, body mass index (BMI), chief symptoms, diameter of the mass (DOM), tumor marker levels, complete blood count values including absolute neutrophil, lymphocyte, and platelet counts, mean platelet volume, platelet distribution width, and platecrit, surgical features, and postoperative histopathology results. Results: The expectantly managed patients were younger than the other groups (p=0.007). The mean body mass index (BMI) was higher in the neoplastic group (p=0.016). Preoperative DOM, CA125, mean platelet volume and PLR were statistically significantly different between the groups (p<0.05). ROC curve analysis demonstrated that increased PLR (AUC, 0.609; p=0.011) and BMI (AUC, 0.611; p=0.011) may be discriminative factors in predicting ovarian neoplasms in adolescents preoperatively. When the cut-off point for the PLR level was set to 140, the sensitivity and specificity levels were found to be 65.7% and 57.6%, respectively. Conclusions: We suggest that beside a careful preoperative evaluation including clinical characteristics, ultrasonographic features and tumor markers, PLR may predict ovarian neoplasms in adolescents.

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“…A few case reports of adnexal torsion associated with polycystic ovarian syndrome have been reported, but the correlation between polycystic ovarian syndrome and torsion is not firmly established [7,8]. This might may be due to the increased size of the ovary, and resulting hypermobility [9].…”

Section: Introductionmentioning

confidence: 99%

Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study

Yaniv

Schonmann

Agizim

et al. 2018

Gynecol Obstet Invest

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Study Objective: The study aimed to evaluate whether there is an association between the ovarian ligament length and ovarian torsion. Design: This is a prospective cohort study. Design Classification: II.2. Setting: The study was conducted in the gynecology department of a university affiliated hospital. Intervention: We measured the length of the ovarian ligaments during laparoscopy. Patients: A total of 56 women were recruited, of which 28 women were operated for ovarian torsion (torsion group) and 28 others for other gynecologic conditions (control group). Measurement and Main Results: The study found correlations between ovarian ligament length and ovarian torsion. The length of the right (2.2 ± 0.6 cm) and left ovarian ligament (2.3 ± 0.8 cm) in the control patients were similar. Ovarian torsions occurred mainly on the right side (67.9 %). The right ovarian ligament was significantly longer in the torsion group (3.2 ± 0.9 cm) than in the control group (2.2 ± 0.6 cm; p < 0.001). Even after exclusion of patients with ovarian cyst, the ovarian ligament was still significantly longer in the torsion group as compared to the control group (3.2 ± 1.1 vs. 2.2 ± 0.6 cm respectively, p = 0.01). Conclusion: Our results suggest that increased length of ovarian ligament might be correlated with the development of ovarian torsion. This could be a basis for ovarian ligament fixation or oophoropexy at the time of conservative surgery for ovarian torsion.

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Early Polycystic Ovary Syndrome as a Possible Etiology of Unexplained Premenarcheal Ovarian Torsion

Cited by 16 publications

References 22 publications

Five Year Retrospective Case Series of Adnexal Torsion

Five Year Retrospective Case Series of Adnexal Torsion

Value of the Platelet to Lymphocyte Ratio in the Diagnosis of Ovarian Neoplasms in Adolescents

Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study

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