Adnexal torsion

Gabriel Oelsner*, David Shashar

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

187 Scopus citations


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.

Original languageEnglish
Pages (from-to)459-463
Number of pages5
JournalClinical Obstetrics and Gynecology
Issue number3
StatePublished - Sep 2006
Externally publishedYes


  • Adnexal
  • Operative laparoscopy
  • Ovary
  • Torsion


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