Adnexal torsion: Is there a familial tendency?

N. Smorgick, O. Nir, M. Pekar-Zlotin, S. Maymon, Y. Melcer, R. Maymon

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To investigate whether patients diagnosed with adnexal torsion report a family history of adnexal torsion in a first degree relative. Materials and Methods: All women with a surgical diagnosis of adnexal torsion operated from 2008 to 2016 were contacted for participation in the study. The study was conducted by a telephone questionnaire. In addition, the medical records were retrospec- tively reviewed and information on demographic characteristics, surgical findings at time of torsion, and history of recurrent torsion events were collected. Results: Two hundred thirty women with a surgical diagnosis of adnexal torsion were identified. Of these, 147 women were reached and agreed to participate in the study. A history of adnexal torsion in a first degree relative was reported by seven (4.8%) patients: three cases involved an adnexal torsion event in a sister, and four cases involved an adnexal torsion event in a mother or daughter. Patients with a positive family history of adnexal torsion were more likely to experience torsion of otherwise normal ad- nexa without adnexal cysts compared to those with a negative family history (71.4% vs. 27.1%, p = 0.01) and to report recurrent tor- sion events (57.1% vs. 17.1%, p = 0.009). Conclusion: A family history of adnexal torsion in a first degree relative is found in a minority of cases and is significantly associated with torsion of otherwise normal adnexa and with recurrent torsion events. Thus, patients with a family history of torsion may be considered a high-risk subgroup of patients.

Original languageEnglish
Pages (from-to)62-64
Number of pages3
JournalClinical and Experimental Obstetrics and Gynecology
Volume47
Issue number1
DOIs
StatePublished - 15 Feb 2020

Keywords

  • Adnexal torsion
  • Ovarian torsion
  • Recurrent torsion

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