Similar But Different: A Comparison of Adnexal Torsion in Pediatric, Adolescent, and Pregnant and Reproductive-Age Women

Melcer, Yaakov; Sarig-Meth, Tal; Maymon, Ron; Pansky, Moty; Vaknin, Zvi; Smorgick, Noam

doi:10.1089/jwh.2015.5490

Cited by 36 publications

(31 citation statements)

References 14 publications

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“…The most common histological diagnosis has varied among studies and includes teratoma, cystadenoma, and ovarian cyst . In our cohort, the most common diagnosis was teratoma, followed by normal ovary, which supports the idea that ovarian torsion is not only associated with pathological changes but may also occur in the normal ovary . The histological diagnosis varied among the age groups.…”

Section: Discussionsupporting

confidence: 83%

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Spectrums and Outcomes of Adnexal Torsion at Different Ages

Jin

Lei

Xie

et al. 2017

J of Ultrasound Medicine

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Section: Discussionsupporting

confidence: 83%

“…Adnexal torsion can occur at all ages, but the peak prevalence is in women of reproductive age . The most common overall histologic diagnosis varied in different studies . Furthermore, the spectrum of histologic diagnosis of adnexal torsion at different ages has not been thoroughly investigated.…”

mentioning

confidence: 99%

Spectrums and Outcomes of Adnexal Torsion at Different Ages

Jin

Lei

Xie

et al. 2017

J of Ultrasound Medicine

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“…8 Melcer et al, found in their study to have right sided torsion in 62.5% while only 36.5% of cases had pathology on left side and remaining 1% were found to have bilateral involvement. 9 In this study, 60% adnexal torsion was in right side in adolescents and postmenopausal group and 50% in reproductive age group. Bilateral torsion was seen in 1 patient in reproductive group and postmenopausal group.…”

Section: Discussionmentioning

confidence: 47%

Comparison of adnexal torsion in different phases of women’s life: a retrospective cohort study

Prabhu

Shanmugapriya

Samal

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Ovarian torsion is one of the most common causes of emergency surgery in gynecology. Though it is more common in reproductive age group, it can occur in extremes of age group. So, we had analysed the clinical presentation, surgical characteristics, and causes of adnexal torsion among adolescent population, reproductive-age women, and postmenopausal women.Methods: Patients with adnexal torsion who were treated in department of obstetrics and gynecology, SRM Medical College Hospital and Research Centre from October 2016 to March 2019 were retrospectively analyzed.Results: Among the 53 cases of adnexal torsion during the study period, maximum (38, 71.6%) were in the reproductive age group. There were three patients with ovarian torsion during pregnancy. Acute pain abdomen was the significant presenting symptom in adolescent group compared to other two group (100% versus 80.6% versus 40%, p = 0.03). Adnexal pathology was in the ovary in 76% and isolated tubal pathology in 5%. Bilateral salpingo-oophorectomy with or without total abdominal hysterectomy was more commonly performed in postmenopausal patients (100%), as opposed to conservative surgery- detorsion and cystectomy in premenopausal women (56%). In Adolescent patients 62% had polycystic ovaries as intraoperative finding. Histopathology were benign except for a patient in postmenopausal age group who had granulosa cell tumour.Conclusions: An early identification of adnexal torsion is necessary in order to achieve conservative treatment in order to maximize the future reproductive potential in younger patients.

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“…in their study reported that the presence of a multicystic ovary caused by ovulation induction treatment was found in women of reproductive age (20 years to menopause, in 5.5%) and in pregnancy (in 35.5%). [ 3 ] Spitzer et al . also reported that assisted reproductive technology (ART) and ovarian stimulation with ovarian hyperstimulation syndrome (OHSS) increases ovarian torsion in pregnant women.…”

Section: Discussionmentioning

confidence: 99%

Torsion of normal adnexa in a 31-year-old woman: A case report and literature review

Wakui

Miyoshi

Kamei

et al. 2018

Gynecol Minim Invasive Ther

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It is known that a large ovarian cyst will likely cause torsion. However, normal adnexal torsion is rare and occurs in premenarchal girls in most cases. This is a case of a reproductive woman. A 31-year-old woman suffering from acute abdominal pain in the lower and right side consulted her gynecologist. The next day she had a computed tomography performed and was suspected of ovarian torsion. She did not have fever, nausea, or leukocytosis, but her abdominal pain persisted. Diagnostic laparoscopy was performed and showed torsion of the right fallopian tube, which was swollen and looked like a hydrosalpinx with a normal ovary. We did detorsion and excision of the right tube. However, pathological findings showed that the right tube was not a hydrosalpinx but was swollen due to blood stasis. We determined that this case was torsion of normal adnexa. In such cases, diagnostic laparoscopy is very effective.

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Similar But Different: A Comparison of Adnexal Torsion in Pediatric, Adolescent, and Pregnant and Reproductive-Age Women

Abstract: The presentation of adnexal torsion is similar in pediatric and reproductive-age and pregnant women, although the underlying adnexal pathology may be different. Functional ovarian cysts cause the majority of torsion cases in pregnant women. Recurrence of torsion may occur in any age group.

Cited by 36 publications

References 14 publications

Spectrums and Outcomes of Adnexal Torsion at Different Ages

Spectrums and Outcomes of Adnexal Torsion at Different Ages

Comparison of adnexal torsion in different phases of women’s life: a retrospective cohort study

Torsion of normal adnexa in a 31-year-old woman: A case report and literature review

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