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Revista Peruana de Ginecología y Obstetricia

On-line version ISSN 2304-5132


CARRASCO, Amparo; CANETE, Patricia; GISBERT, Aitana  and  BALANZA, Reyes. Adnexal torsion clinical characteristics and treatment: 17 years experience. Rev. peru. ginecol. obstet. [online]. 2015, vol.61, n.4, pp.379-384. ISSN 2304-5132.

Objectives: To present the descriptive epidemiology in a group of women with adnexal torsion. Design: Observational, descriptive and retrospective study. Setting: Hospital Universitario Doctor Peset, Valencia. Spain. Participants: Women diagnosed of adnexal torsion. Interventions: Between February 1997 and june 2014, 54 patients 11-64 years old with adnexal torsion were included. Results: The mean onset age was 31.7 years old. Previous adnexal surgerywas reported in 6 cases (11.1 %). The right adnexal region was the most affected; 34 (62.9%) patients were adnexal mass carriers. The most common presenting symptom was acute pelvic pain, and the mean lag time between onset of symptoms and confirmation of diagnosis was 24-72 hours. Fourteen (25.9%) patients were treated by laparotomy and 40 (74.1 %) by laparoscopy. Recurrence occurred in 3 patients (5.6%). Conclusions: Adnexal torsion should be considered in everywoman complaining of pelvic pain in emergency services. A prompt surgical intervention is required to avoid irreversible ovarian damage. Nowadays, conservative therapy by laparoscopy is preferred in these patients.

Keywords : Adnexa Uteri; Torsion Mechanical; Ovary; Emergency service; Hospital; Pelvic Pain.

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