The conservative management of adnexal torsion—a case-report and review of the literature

Rody, Achim; Jackisch, C; Klockenbusch, W.; Heinig, J.; Coenen-Worch, Verena; Schneider, H. P. G.

doi:10.1016/s0301-2115(01)00518-8

Cited by 73 publications

(51 citation statements)

References 11 publications

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“…It is estimated to account for 3% of all cases of acute abdominal pain in adult women. 1 Most cases (71%) are seen in women older than 20 years. 2 Ovarian torsion is an emergency that mandates early diagnosis and timely surgical exploration and detorsion to avoid the catastrophic consequence of further adnexal injury.…”

Section: Discussionmentioning

confidence: 99%

Pediatric ovarian torsion: case series and review of the literature

Poonai

Lim

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Pediatric ovarian torsion: case series and review of the literature

Poonai

Lim

et al. 2013

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“…8 Complication following adnexal sparing surgery is rare and self-limiting. Rody et al 16 in his study involving young adults quoted a 4% rate of having relevant complications following detorsion. Transient postoperative fever and ileus are the most common problems detected 2,7,11 significantly more common following laparotomy compared to laparoscopy.…”

Section: Discussionmentioning

confidence: 96%

“…16 This inconsistent finding is perhaps due to small sample size in each series and heterogeneity of sample population. Physiological changes at around pubertal age and abnormally long ovarian pedicles have been suggested as an underlying mechanism of ovarian torsion in young patients.…”

Section: Discussionmentioning

confidence: 97%

Laparoscopic detorsion of gangrenous adnexae followed by interval cystectomy: case report and review of the literature

Ramli

Mansor

Abdullah

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…6 Secondly, since the ovary is no longer viable, ovarian removal is necessary to prevent infectious morbidity, sepsis and even mortality. Thirdly, fear of malignancy also influences the decision to remove the ovary completely in cases of twisted ovarian cyst.…”

Section: Discussionmentioning

confidence: 99%

“…7 However, many studies have reported the excellent recovery of ovarian function after conservative approach regardless of the necrotic appearance of the twisted ischemic ovary. [1][2][3][4][5][6][8][9][10][11][12] Adnexectomy should be avoided as recovery of normal ovarian size and function, as shown by follicular development is 88% to 100%. 8 Even gangrenous-appearing adnexa should not be removed because it is impossible to predict the chances of the ovary reviving after detorsion.…”

Section: Discussionmentioning

confidence: 99%

Detorsion of Twisted (Gangrenous) Ovarian Cyst Followed by Complete Disappearance of the Cyst-A Case Report of Innovative Outcome

Sheikh¹,

Ramli²,

Haque³

2015

J YOUNG PHARM

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Adnexal torsion in the pediatric and adolescent population is a rare gynecological disease with an incidence of 2.7%. They are categorized by different clinical presentations and by the need to establish a suitable type and timing of treatment in order to prevent problems, such as ovarian necrosis after torsion and infertility. Ovarian torsion denotes a real surgical emergency. Quick diagnosis is crucial for ovarian salvage, and high clinical notion is imperative in this respect. Confounding the diagnosis in overall are more usually come across abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Until a decade ago,the standard recommended treatment for ovarian torsion was removal of the gangrenous ovary without detorsion. However, conservative management for preservation of ovarian function should be undertaken because most females with adnexal torsion are adolescent girls and of childbearing age. A 10-year-old obese girl presented with a 3-days history of right iliac fossa pain. She was operated for acute appendicitis; however, intraoperatively found gangrenous twisted right ovarian cyst measuring 10x6 cm. Detorsion was done and noted the right fallopian tube appeared to be viable within few minutes however the right ovarian cyst remained the same. The postoperative period was uneventful. The same gangrenous ovary was monitored through repeated ultrasound examinations during follow-up visits and found that cyst was gradually decreasing in size and finally disappeared within 3 months. Detorsion of twisted ovarian cyst (conservative management) leads to complete disappearance and ovary not only be saved but also operative morbidity of interval cystectomy was avoided.

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The conservative management of adnexal torsion—a case-report and review of the literature

Cited by 73 publications

References 11 publications

Pediatric ovarian torsion: case series and review of the literature

Pediatric ovarian torsion: case series and review of the literature

Laparoscopic detorsion of gangrenous adnexae followed by interval cystectomy: case report and review of the literature

Detorsion of Twisted (Gangrenous) Ovarian Cyst Followed by Complete Disappearance of the Cyst-A Case Report of Innovative Outcome

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