Adnexal torsion in adolescents: prompt diagnosis and treatment may save the adnexa

Alon Ben-Arie, Samuel Lurie, George Graf, Vaclav Insler

Research output: Contribution to journalArticlepeer-review

Abstract

Adnexal torsion, although infrequent, may have a devastating effect on the future reproductive performance of adolescents and young women. However, clear variables predicting a favorable operative outcome have not yet been identified. In this retrospective study the authors analyzed the charts of 72 adolescent girls hospitalized for acute lower abdominal pain. In 13 cases (18%) torsion of the adnexa was found and six of them ended with reproductive compromise expressed by either adnexectomy or salpingectomy. We have found that in the cases of adnexal torsion, the time factor, from admission until final diagnosis and treatment, was the only significant variable affecting the operative results. A shorter time until the operation, resulted in less harm to the reproductive organs involved. Therefore, we conclude that whenever an adnexal torsion is suspected, a quick diagnostic laparoscopy followed by an operative procedure when needed, may contribute to better reproductive performance in the future.

Original languageEnglish
Pages (from-to)169-173
Number of pages5
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume63
Issue number2
DOIs
StatePublished - Dec 1995
Externally publishedYes

Keywords

  • Adnexa
  • Adolescents
  • Ovary
  • Torsion

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