Adnexal torsion in symptomatic women: a single-centre retrospective study of diagnosis and management.

Adnexal torsion in symptomatic women: a single-centre retrospective study of diagnosis and management. J Obstet Gynaecol. 2018 Nov 08;:1-6 Authors: Resapu P, Rao Gundabattula S, Bharathi Bayyarapu V, Pochiraju M, Surampudi K, Dasari S Abstract This retrospective study aimed to evaluate the sonographic diagnosis and management strategy of symptomatic adnexal torsion at a teaching hospital in Hyderabad, India. All women with abdominal pain and preoperative or operative diagnosis of adnexal torsion from January 2011 to December 2015 were included. A total of 76 women with 78 episodes were included; 28 (36%) occurred during pregnancy. The ovarian mass (in 71%) and pregnancy (in 35%) constituted the most common risk factors. The overall sensitivity, specificity, positive predictive value, negative predictive value and the accuracy of ultrasound were 75%, 27%, 86%, 15% and 68%, respectively. Ultrasonography was more sensitive in detecting torsions in the non-pregnant subgroup but had a higher specificity during pregnancy. An oophorectomy was performed in 9% of the women due to gangrene. Benign paraovarian cysts and teratomas were the most frequent lesions to undergo torsion. The obstetric outcome was good, the miscarriage rate being 5%. Impact statement What is already known on this subject? Adnexal torsion presents a diagnostic and therapeutic challenge. There are various sonographic criteria that aid in the clinical diagnosis. Discoloure...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research