Plasma D-dimer level in the diagnosis of adnexal torsion

Incebiyik, Adnan; Camuzcuoğlu, Aysun; Hilali, Neşe Gül; Vural, Mehmet; Camuzcuoğlu, Hakan

doi:10.3109/14767058.2014.942636

Cited by 8 publications

(7 citation statements)

References 23 publications

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“…D‐dimer is a major degradation product of polymerized fibrin after blood coagulation and plasmin processing. Elevated plasma D‐dimer levels usually indicate active fibrinolysis and are observed in several disorders, including arterial and venous thromboembolic disease, disseminated intravascular coagulation, malignancy, and renal and liver disease . Serum D‐dimer has been reported as a useful diagnosis and prognosis parameter for several malignancies including ovarian cancer .…”

Section: Discussionmentioning

confidence: 99%

Diagnostic value of serum D‐dimer,CA125, and neutrophil‐to‐lymphocyte ratio in differentiating ovarian cancer and endometriosis

Chen

Wang

Shu

et al. 2019

Intl J Gynecology & Obste

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Objective: To assess the utility of hematologic, inflammatory, and immunologic biomarkers for differentiating between ovarian cancer and endometriosis.Methods: Data were retrospectively reviewed from women diagnosed with ovarian cancer and endometriosis after ovarian cyst surgery in Zhejiang, China, 2014 Serologic and hematologic biomarkers, including white blood cell count, lymphocyte count, neutrophil count, red blood cell count, hemoglobin, platelets, and D-dimer, albumin, globulin, cancer antigen 125 (CA125) and CA199 serum levels recorded preoperatively were assessed by ROC curve and logistic regression analysis. Results:Overall, 49 women were diagnosed with ovarian cancer and 192 with endometriosis. For predicting ovarian cancer, the area under the curve (AUC) was 0.96 (95% confidence interval [CI], 0.94-0.99); sensitivity, 93.2%; specificity, 87.5%) for log(Ddimer), 0.95 (95% CI, 0.91-0.98; sensitivity, 81.3%; specificity, 96.3%) for log(CA125), and 0.92 (95% CI, 0.86-0.98; sensitivity, 92.6%; specificity, 79.2%) for neutrophil-tolymphocyte ratio (NLR). The AUC for the combination of D-dimer, NLR, and CA125 was 0.96 (95% CI, 0.94-0.99; sensitivity, 91.6%; specificity, 89.6%).Conclusion: Serum D-dimer, NLR, and CA125 were found to be potential diagnostic factors for ovarian cancer. Combined measurement of D-dimer, NLR, and CA125 might offer a convenient screening method.

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Section: Discussionmentioning

confidence: 99%

Diagnostic value of serum D‐dimer,CA125, and neutrophil‐to‐lymphocyte ratio in differentiating ovarian cancer and endometriosis

Chen

Wang

Shu

et al. 2019

Intl J Gynecology & Obste

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“…Gebelik risk faktörleri arasındadır. Gebelik sırasında adneksial torsiyon oldukça nadir görülür ve insidansının 1-5/100,000 arasında olduğu bildirilmektedir 2 . Anahtar kelimeler: gebelik; adneksial torsiyon; detorsiyon; infundibulo-pelvik ligament Adneksial torsiyon; adneksial yapıların, overin, nadiren de sadece tuba uterinanın infundibulo-pevik ligament ve tubo-ovaryan ligamentlerden oluşan merkez hat boyunca en az bir kez tam rotasyonu olarak tanımlanır 3 .…”

Section: Introductionunclassified

“…Gebelik risk faktörleri arasındadır. Gebelik sırasında adneksial torsiyon oldukça nadir görülür ve insidansının 1-5/100,000 arasında olduğu bildirilmektedir 2 .…”

Section: Introductionunclassified

Adnexial Torsion and Infundibulo-Pelvic Ligament Absence During Primary Caesarean: Case Report

Sağir¹,

Akbaş²,

Özdemir³

2018

Kafkas J Med Sci

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The purpose of this study is to emphasize the importance of evaluation of adnexal structures and neighboring organs during cesarean operation. It is necessary to evaluate adhesions due to congenital anomalies, ovarian cysts, ovarian premalign masses, teratomas, morgagni cysts, ligamentum latum myoma, endometriosis, and past pelvic inflammatory disease (PID) that may be present during the operation. This evaluation will help prevent the development of acute abdomen due to unexplained pelvic pain or adnexial torsion in the postoperative patient. The 30 years old patient PK, gravida 1, visited our clinic for the first time at the 36th week. The patient did not have any complaints during the one-month follow-up at our hospital and complications did not develop. During 40 weeks plus 1 day of her pregnancy, head pelvis incompatibility was detected in the examination of the patient and she was admitted to the cesarean operation. The patient who had no history of previous intra-abdominal surgery, was underwent intraabdominal control after the uterus was closed during cesarean operation. Left tuba, over and tuba-ovarian relation were normal. The right tuba was torsioned 3 times around itself and was lack of right infundibulo-pelvic ligament, and also, over was at the distal end of the tuba. The fimbrial tip of tuba and over adhered to the sacrouterin ligament in the posterior uterus via a fibrous band without avascularity. Adhesion was opened and right adnexial detorsion was performed. Since the overlying tissue at the end of the tuba was mobil, the right adnexal was fixed again to the adhesion zone. The patient was discharged on the second postoperative day without any complications. Adnexal structures and neighboring organs should be checked during cesarean section. This control will prevent the unexplained abdominal pain and acute abdomen that may occur after the operation, and will help early detection of possible additional pathologies.

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“…Adneksiyal torsiyon; adneksiyal yapıların tuboovarian ligament merkezinde en az bir kez tam olarak rotasyonu sonucu oluşan akut batın tablosu olarak tanımlanır 1 . Torsiyon sonucunda arteriyal kan akımının azalması, ödem ve iskemi meydana gelir 2 .…”

Section: Introductionunclassified

Adneksiyal Torsiyonlu Hastaların Tanısında Mean Platelet Volümün Rolü Var mıdır?

Incebiyik¹,

Uyanıkoğlu²

2017

Dicle Tıp Dergisi

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Plasma D-dimer level in the diagnosis of adnexal torsion

Abstract: The results obtained from our present study suggest that the plasma D-dimer level could be a supplementary laboratory examination in establishing diagnoses in AT patients.

Cited by 8 publications

References 23 publications

Diagnostic value of serum D‐dimer,CA125, and neutrophil‐to‐lymphocyte ratio in differentiating ovarian cancer and endometriosis

Diagnostic value of serum D‐dimer,CA125, and neutrophil‐to‐lymphocyte ratio in differentiating ovarian cancer and endometriosis

Adnexial Torsion and Infundibulo-Pelvic Ligament Absence During Primary Caesarean: Case Report

Adneksiyal Torsiyonlu Hastaların Tanısında Mean Platelet Volümün Rolü Var mıdır?

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