Adnexal torsion clinical characteristics and treatment: 17 years experience

Authors

  • Amparo Carrasco Adjunto, Servicio de Obstetricia y Ginecología, Hospital Doctor Peset, Valencia, España
  • Patricia Cañete Adjunto, Servicio de Obstetricia y Ginecología, Hospital Doctor Peset, Valencia, España
  • Aitana Gisbert Adjunto, Servicio de Obstetricia y Ginecología, Hospital Doctor Peset, Valencia, España
  • Reyes Balanzá Jefe de Servicio, Servicio de Obstetricia y Ginecología, Hospital Doctor Peset, Valencia, España

DOI:

https://doi.org/10.31403/rpgo.v61i1868

Abstract

Objectives: To present the descriptive epidemiology in a group of women with adnexal torsion. Design: Observational, descriptive and retrospective study. Setting: Hospital Universitario Doctor Peset, Valencia. Spain. Participants: Women diagnosed of adnexal torsion. Interventions: Between February 1997 and June 2014, 54 patients 11-64 years old with adnexal torsion were included. Results: The mean onset age was 31.7 years old. Previous adnexal surgery was reported in 6 cases (11.1%). The right adnexal region was the most affected; 34 (62.9%) patients were adnexal mass carriers. The most common presenting symptom was acute pelvic pain, and the mean lag time between onset of symptoms and confirmation of diagnosis was 24-72 hours. Fourteen (25.9%) patients were treated by laparotomy and 40 (74.1%) by laparoscopy. Recurrence occurred in 3 patients (5.6%). Conclusions: Adnexal torsion should be considered in every woman complaining of pelvic pain in emergency services. A prompt surgical intervention is required to avoid irreversible ovarian damage. Nowadays, conservative therapy by laparoscopy is preferred in these patients.

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Published

2016-01-16

How to Cite

Carrasco, A., Cañete, P., Gisbert, A., & Balanzá, R. (2016). Adnexal torsion clinical characteristics and treatment: 17 years experience. The Peruvian Journal of Gynecology and Obstetrics, 61(4), 379–384. https://doi.org/10.31403/rpgo.v61i1868

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