Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 15 , ISSUE 3 ( May-June, 2023 ) > List of Articles

Original Article

Adnexal Torsion in Adolescents: A 24-patient Case Series with Conservative Surgical Approach

Nirmala Sharma, Neha Seehra, Anushika Kedawat, Anand Sharma, Sunil Kumar Meena

Keywords : Acute abdomen, Adolescents, Adnexal torsion, Fertility preservation

Citation Information : Sharma N, Seehra N, Kedawat A, Sharma A, Meena SK. Adnexal Torsion in Adolescents: A 24-patient Case Series with Conservative Surgical Approach. J South Asian Feder Obs Gynae 2023; 15 (3):313-315.

DOI: 10.5005/jp-journals-10006-2238

License: CC BY-NC 4.0

Published Online: 31-07-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Adnexal torsion is a common diagnostic challenge in an emergency setting. It has an incidence of 2–15%. Diagnosis is mainly based on clinical symptoms and imaging techniques such as ultrasound and magnetic resonance imaging (MRI), however, a normal ultrasound scan does not exclude adnexal torsion and the decision to operate should be made on clinical grounds. Methodology: Data from 24 patients who were known cases of adnexal torsion was retrieved from the hospital registry to conduct a retrospective analysis of patients. Conclusion: Appropriate diagnosis and timely surgical gynecological intervention are of utmost importance to preserve ovarian function.


HTML PDF Share
  1. Adnexal torsion in adolescents. ACOG committee opinion 783. American college of obstetrician and gynaecologists. Obstet Gynecol 2019;vol 134 no.2: e56–63. DOI: 10.1097/AOG.0000000000003373.
  2. Sasaki KJ, Miller CE. Adnexal torsion: Review of the literature. J Minim Invasive Gynecol 2014;21(2):196–202. DOI: 10.1016/j.jmig.2013.09.010.
  3. Limbachiya D, Chawla H, Gandhi P, et al. Oophorexy and ovarian bivalving in recurrent ovarian torsion in premenarchial patient: Review of the technique. J South Asian Feder Obst Gynae 2018;10(4):273–275. DOI: 10.5005/jp-journals-10006-1605.
  4. Oltmann SC, Fischer A, Barber R, et al. Cannot exclude torsion—a 15-year review. J Pediatr Surg 2009;44(6):1212–1216; discussion 1217. DOI: 10.1016/j.jpedsurg.2009.02.028.
  5. Argenta PA, Yeagley TJ, Ott G, et al. Torsion of the uterine adnexa: Pathologic correlations and current management trends. J Reprod Med 2000;45(10):831–836. PMID: 11077633.
  6. Celik A, Ergün O, Aldemir H, et al. Long-term results of conservative management of adnexal torsion in children. J Pediatr Surg 2005;40(4):704–708. DOI: 10.1016/j.jpedsurg.2005.01.008.
  7. Huang C, Hong MK, Ding DC. A review of ovary torsion. Ci Ji Yi Xue Za Zhi. 2017;29(3):143–147. DOI: 10.4103/tcmj.tcmj_55_17.
  8. Kaur N, Kaur K, Saini S. An intrauterine pregnancy with tubo-ovarian torsion mimicking ruptured tubal ectopic pregnancy. J South Asian Feder Obst Gynae 2017;9(1):56–59. DOI: 10.5005/jp-journals-10006-1458.
  9. Qian L, Wang X, Li D, et al. Isolated fallopian tube torsion with paraovarian cysts: A case report and literature review. BMC Women's Health 2021;21(1):345. DOI: 10.1186/s12905-021-01483-2.
  10. Sari Kives, Suzy Gascon, Elise Dubuc, et al. Diagnosis and management of adnexal torsion in children, Adolescents, and adults. J Obstet Gynaecol Can 2017;39(2):82–90. DOI: 10.1016/j.jogc.2016.10.001.
  11. Hasdemir PS, Eskicioglu F, Pekindil G, et al. Adnexal torsion with dystrophic calcifications in adolescent; A chronic entity? Case Rep Obstet Gynecol 2013;2013:235459. DOI: 10.1155/2013/235459.
  12. Parelkar SV, Mundada D, Sanghavi BV, et al. Should the ovary always be conserved in torsion? A tertiary care institute experience. J Paediatr Surg 2014;49(3):465–468. DOI: 10.1016/j.jpedsurg.2013.11.055.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.