Adnexal torsion - A retrospective study in teaching hospital
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 4, Issue 1
Abstract
Background: Adnexal torsion accounts for 3% of all gynaecological emergencies. It includes a spectrum of pathologies: ovarian torsion(rare),ovarian and fallopian tube torsion and isolated fallopian tube torsion(very rare). Ovarian torsion is defined as partial or complete rotation of the ovarian vascular pedicle causing obstruction to venous outflow and arterial inflow .When fallopian tube also twists with the ovary it is known as adnexal torsion2. Torsion of the ovary, tube, or both or responsible for approximately 3% of all gynaecologic emergencies, while 30% of the cases occur during pregnancy. Objectives: To find out the prevalence, risk factors attributing to etiology of adnexal torsion, various clinical presentation, site of adnexal torsion, intra- operative findings and management. Materials and Methods: This is a retrospective study conducted in the department of OBG, Mandya Institute of Medical Sciences, Mandya, for a period of five years from January-2011 to December-2015. All cases of adnexal torsion diagnosed by clinical examination and ultrasonography were included in the study. Results: Thirty one (31) cases were included in the study period. Thirty (30) cases of adnexal torsion were confirmed by clinical and USG preoperatively and one case was confirmed intraoperatively. 48.3% (15) cases between 20-29 yrs of age of cases were present between 20 to 29 years. Twenty cases (64.5%) had prior history of tubal sterilisation as risk factor 17 cases (54.8%) had right sided adnexal torsion, followed by 13 cases (41.9%) on left side. Commonest histopathological feature in adnexal torsion was haemmorragic infarction in 21 cases (67.74%), All cases underwent emergency laparatomy and salpingo ovariotomy (29 cases). Ovarian de-torsion and cystectomy was done in 2 cases (since 1yr).
Authors and Affiliations
Manohar R, Kavyashree G
Keywords
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