Turkiye Klinikleri J Gynecol Obst. 2010;20(5):287-94
Copyright Ⓒ 2025 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (
http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: The purpose of this study is to evaluate adnexial torsion cases and to evaluate the helpful factors for the diagnosis and treatment of adnexial torsion by evaluating adnexial torsion cases retrospectively.
Material and Methods: Thirty eight patients were included in the study which were operated for adnexial torsion in Ankara Education and Research Hospital 1. and 2. Gynecology and Obstetrics Clinics and the diagnosis is confirmed intreoperatively. Complaints, risc factors, physical examination, laboratuary and radiologic findings of patients were saved. Pathologic findings were determined.
Results: Average age was 28.1 ± 11.3, median age was 27. In 25 (65.7%) patients torsion was on the right side. 4 patient had policystic ovary syndrom and 4 patients were hypotirodic of all 38 patients. Average lococytosis was 11784 ± 1213. Ovary was enlarged in 9 patients and 28 patients had an adnexal mass. In doppler ultrasonography 9 (32%) patients were no ovarian blood flow and 4 (11%) patients had a decrease in ovarian blood flow. Fifteen (57%) patients had a normal ovarian blood flow. In 15 (39%) patients underway pathology for torsion was functional ovarian cysts, in 13 (34%) patients it was benign ovarian cysts, in 1 (2%) patient had hydrosalpinx of all 38 patients. Nine patients had no underway pathology for torsion.
Conclusion: As a result, we have no absolute objective radiologic or laboratory findings in the diagnosis of adnexial torsion.The most important point in the diagnosis and the treatment is to suspect about adnexial torsion and not to avoid from surgery when it is needed.