TY - JOUR
T1 - Adnexal torsion
AU - Oelsner, Gabriel
AU - Shashar, David
PY - 2006/9
Y1 - 2006/9
N2 - This review provides timely information concerning clinical, surgical, and pathologic findings of adnexal torsion (AT). AT mostly occurs in the child-bearing age group, but is not uncommon in premenarchal girls or postmenopausal women. When AT is suspected, urgent surgical intervention is indicated, and is usually performed by laparoscopy. Incidence of AT is 3.5% of all benign cystic teratomas. Despite the "necrotic" appearance of the twisted ischemic ovary, detorsion is the only procedure which should be performed at surgery. Adnexectomy should be avoided as ovarian function is preserved in 88% to 100% of cases. Awareness and suspicion of the diagnosis of AT is needed in patients who present with lower abdominal pain.
AB - This review provides timely information concerning clinical, surgical, and pathologic findings of adnexal torsion (AT). AT mostly occurs in the child-bearing age group, but is not uncommon in premenarchal girls or postmenopausal women. When AT is suspected, urgent surgical intervention is indicated, and is usually performed by laparoscopy. Incidence of AT is 3.5% of all benign cystic teratomas. Despite the "necrotic" appearance of the twisted ischemic ovary, detorsion is the only procedure which should be performed at surgery. Adnexectomy should be avoided as ovarian function is preserved in 88% to 100% of cases. Awareness and suspicion of the diagnosis of AT is needed in patients who present with lower abdominal pain.
KW - Adnexal
KW - Operative laparoscopy
KW - Ovary
KW - Torsion
UR - http://www.scopus.com/inward/record.url?scp=33746817090&partnerID=8YFLogxK
U2 - 10.1097/00003081-200609000-00006
DO - 10.1097/00003081-200609000-00006
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C2 - 16885653
AN - SCOPUS:33746817090
VL - 49
SP - 459
EP - 463
JO - Clinical Obstetrics and Gynecology
JF - Clinical Obstetrics and Gynecology
SN - 0009-9201
IS - 3
ER -