Author/Authors :
Mansour Ghanaie, Mandana Department of Obstetrics and Gynecology - School of Medicine - Guilan University of Medical Sciences, Rasht, Iran , Asgari Ghalebin, Mohammad School of Medicine - Guilan University of Medical Sciences, Rasht, Iran , Olangian-Tehrani, Sepehr School of Medicine - Iran University of Medical Sciences, Tehran, Iran , Bab Eghbal, Sedigheh Department of Obstetrics and Gynecology - School of Medicine - Guilan University of Medical Sciences, Rasht, Iran , Attari, Maryam Department of Obstetrics and Gynecology - School of Medicine - Guilan University of Medical Sciences, Rasht, Iran , Keivan Khosro, Hajar Department of Obstetrics and Gynecology - School of Medicine - Guilan University of Medical Sciences, Rasht, Iran , Haryalchi, Katayoun Department of Anesthesiology - Alzahra Hospital - School of Medicine - Guilan University of Medical Sciences, Rasht, Iran
Abstract :
Ovarian Torsion (OT) is a common gynecological emergency. Clinical
presentation is nonspecific, and diagnosis is based on a high index of suspicion. Current
recommendations strongly are based on ovarian support.
Objectives: To assess clinical findings and therapeutic approach of patients diagnosed with OT.
Materials & Methods: In this retrospective study 104 patients with confirmed OT in
surgery were investigated. Clinical symptoms, laboratory indices, ultrasonography finding,
and therapeutic approach were collected from hospital records of patients from 2001 to 2021.
Results: The Mean±SD age of patients was 34.7±14.1 years old. The Mean±SD duration
from hospitalization to surgery was 6.4±3 hours. The most common symptom in patients was
abdominal pain (100%) followed by nausea and vomiting (76.9%). Ovarian cyst (71.2%)
was the most gynecologic etiology of OT. Local tenderness (92.3%) and rebound tenderness
(46.2%) were the most prevalent sign in physical examination. Necrotic ovary was found in
60 patients (57.7%) at surgery. Detorsion was possible in only 26 patients (25%).
Conclusion: This study revealed that most objective findings in patients were nondifferential.
The majority of patients with OT were in the reproductive ages, but just one fourth of them
treated with conservative management.
Keywords: Ovary, Laparotomy, Ovarian torsion
Keywords :
Ovary , Ovarian torsion , Laparotomy , Ovary
