Research Article
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Year 2019, Volume: 5 Issue: 2, 85 - 92, 28.08.2019
https://doi.org/10.19127/mbsjohs.559446

Abstract

References

  • Albayram F, Hamper UM. Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. Journal of Ultrasound in Medicine. 2001;20(10):1083-9.
  • Anders JF, Powell EC. Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients. Archives of pediatrics & adolescent medicine. 2005;159(6):532-5.
  • Bayer AI, Wiskind AK. Adnexal torsion: can the adnexa be saved? American journal of obstetrics and gynecology. 1994;171(6):1506-11.
  • Bellati F, Ruscito I, Gasparri ML, Antonilli M, Pernice M, Vallone C, et al. Effects of unilateral ovariectomy on female fertility outcome. Archives of gynecology and obstetrics. 2014;290(2):349-53.
  • Bodur S, Alanbay I, Karasahin KE, Kinci MF, Fidan U, Keskin U. Chronic Ovarian Torsion Mimicking Subserosal Postmenopausal Fibroid. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2016;206:e137.
  • Bronstein ME, Pandya S, Snyder CW, Shi Q, Muensterer OJ. A meta-analysis of B-mode ultrasound, Doppler ultrasound, and computed tomography to diagnose pediatric ovarian torsion. European Journal of Pediatric Surgery. 2015;25(01):82-6.
  • Chang S-D, Yen C-F, Lo L-M, Lee C-L, Liang C-C. Surgical intervention for maternal ovarian torsion in pregnancy. Taiwanese Journal of Obstetrics and Gynecology. 2011;50(4):458-62.
  • Chiou S-Y, Lev-Toaff AS, Masuda E, Feld RI, Bergin D. Adnexal torsion: new clinical and imaging observations by sonography, computed tomography, and magnetic resonance imaging. Journal of Ultrasound in Medicine. 2007;26(10):1289-301.
  • Eitan R, Galoyan N, Zuckerman B, Shaya M, Shen O, Beller U. The risk of malignancy in post-menopausal women presenting with adnexal torsion. Gynecologic oncology. 2007;106(1):211-4.
  • Ekmekci E, Aydogmus H, Ergun Y, Eren R. Analyzing adnexiel torsion cases recognized in our clinic retrospectively. Turkiye Klinikleri Journal of Gnynecology and Obstetrics. 2010;20(5):287.
  • Gunay T, Yardimci Od, Hocaoğlu M, Bör Ed, Erdem G. Ovarian Torsion and Surgical Treatment: 5 years experience of a tertiary center. Journal of Kahramanmaras Sutcu Imam University Faculty of Medicine.2018;13(2):33-42.
  • Hibbard LT. Adnexal torsion. American journal of obstetrics and gynecology. 1985;152(4):456-61.
  • Houry D, Abbott JT. Ovarian torsion: a fifteen-year review. Annals of emergency medicine. 2001;38(2):156-9.
  • Huchon C, Fauconnier A. Adnexal torsion: a literature review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2010;150(1):8-12.
  • Lomano jm, Trelford jd, Ullery jc. Torsion of the uterine adnexa causing an acute abdomen. Obstetrics & Gynecology. 1970;35(2):221-5.
  • Mashiach R, Melamed N, Gilad N, Ben-Shitrit G, Meizner I. Sonographic diagnosis of ovarian torsion: accuracy and predictive factors. Journal of Ultrasound in Medicine. 2011;30(9):1205-10.
  • Mazouni C, Bretelle F, Menard J, Blanc B, Gamerre M. Diagnosis of adnexal torsion and predictive factors of adnexal necrosis. Gynecologie, obstetrique & fertilite. 2005;33(3):102-6.
  • McGovern PG, Noah R, Koenigsberg R, Little AB. Adnexal torsion and pulmonary embolism: case report and review of the literature. Obstetrical & gynecological survey. 1999;54(9):601-8.
  • Moribata Y, Kido A, Yamaoka T, Mikami Y, Himoto Y, Kataoka M, et al. MR imaging findings of ovarian torsion correlate with pathological hemorrhagic infarction. Journal of Obstetrics and Gynaecology Research. 2015;41(9):1433-9.
  • Noviello C, Romano M, Papparella A, Ciavattini A, Martino A, Cobellis G. The isolated tubal torsion: an insidious pediatric and adolescent pelvic urgency. La Pediatria Medica e Chirurgica. 2018;40(2):48-51
  • Naiditch JA, Barsness KA. The positive and negative predictive value of transabdominal color Doppler ultrasound for diagnosing ovarian torsion in pediatric patients. Journal of pediatric surgery. 2013;48(6):1283-7.
  • Oelsner G, Cohen SB, Soriano D, Admon D, Mashiach S, Carp H. Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function. Human Reproduction. 2003;18(12):2599-602.
  • Oltmann SC, Fischer A, Barber R, Huang R, Hicks B, Garcia N. Pediatric ovarian malignancy presenting as ovarian torsion: incidence and relevance. Journal of pediatric surgery. 2010;45(1):135-9.
  • Parelkar SV, Mundada D, Sanghvi BV, Joshi PB, Oak SN, Kapadnis SP, et al. Should the ovary always be conserved in torsion? A tertiary care institute experience. Journal of pediatric surgery. 2014;49(3):465-8.
  • Rody A, Jackisch C, Klockenbusch W, Heinig J, Coenen-Worch V, Schneider H. The conservative management of adnexal torsion—a case-report and review of the literature. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2002;101(1):83-6.
  • Rossi BV, Ference EH, Zurakowski D, Scholz S, Feins NR, Chow JS, et al. The clinical presentation and surgical management of adnexal torsion in the pediatric and adolescent population. Journal of pediatric and adolescent gynecology. 2012;25(2):109-13.
  • Santra D, Dasgupta A, Ray N, Talukder A, Dasgupta S. Adnexal Torsion: Clinical Presentations and Challenges. Journal of Clinical & Diagnostic Research. 2018;12(6).
  • Savic D, Stankovic ZB, Djukic M, Mikovic Z, Djuricic S. Torsion of malignant ovarian tumors in childhood and adolescence. Journal of Pediatric Endocrinology and Metabolism. 2008;21(11):1073-8.
  • Shadinger LL, Andreotti RF, Kurian RL. Preoperative sonographic and clinical characteristics as predictors of ovarian torsion. Journal of Ultrasound in Medicine. 2008;27(1):7-13.
  • White M, Stella J. Ovarian torsion: 10‐year perspective. Emergency Medicine Australasia. 2005;17(3):231-7.
  • Wilkinson C, Sanderson A. Adnexal torsion—a multimodality imaging review. Clinical radiology. 2012;67(5):476-83.

Clinical and Pathologic Evaluation of Adnexal Torsion Patients in Adolescence, Reproductive and Postmenopausal Periods

Year 2019, Volume: 5 Issue: 2, 85 - 92, 28.08.2019
https://doi.org/10.19127/mbsjohs.559446

Abstract



Objective: The objective of our study was to compare the adnexal
torsion patients in different age groups clinically and pathologically.

Methods: Sixty-eight patients who had applied with pelvic pain
and adnexal torsion diagnosis had been confirmed intraoperatively were included
in the study. Patients were divided into three groups based on their ages as
the adolescent period (Group 1), reproductive period (Group 2) and postmenopausal
period (Group 3). Ages, history of torsion, history of past operations, periods
between the date of hospitalization and operation, periods of hospital stay,
adnexa as the localization of torsion and number of tours of torsion were
examined in groups. Mass lesions found during the operation and pathologic
consequences of such masses were examined retrospectively and compared.

Results: No statistically significant differences in torsion
history, past operations, WBC and platelet values, neutrophil/lymphocyte
ratios, preoperative fever, preoperative nausea and vomiting and preoperative
Doppler US findings between the groups included in the studies (p>0,05).
Although not statistically significant, WBC values were higher in the
postmenopausal patient group, and it was notable that symptoms including fever,
nausea and vomiting were absent in this group. The adolescent age group was the
group with the least confirmation of torsion diagnosis following the operation
with 13 (52%) patients. Upon evaluation of the operations carried out on
patients, it was seen that mostly fertility preserving approaches were preferred
for adolescent and reproductive patients with 88%, while more radical methods
such as USO (72.7%) and TAH+BSO (18.2%) were preferred in postmenopausal
patients. Ovarian tissue with torsion without any pathologic findings is more
frequent in the adolescent period as compared to other groups (48%). In the
postmenopausal period however, some pathology was found in the entire portion
of the adnexa with torsion. In the postoperative evaluation of the pathology
results of patients, no significant differences were observed as regards the
diameters of cysts (p:0,207). There are significant differences between the
histopathological types.







Conclusion: Although statistically significant differences have not
been observed as regards the clinic al presentation and laboratory findings
based on age groups; it must be kept in mind that a mass lesion can accompany
the torsion and the pathology of this mass can vary. Torsion must be remembered
in pelvic pain in the adolescent age group because of the indistinct clinical
findings and inadequacy of imaging methods.

References

  • Albayram F, Hamper UM. Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. Journal of Ultrasound in Medicine. 2001;20(10):1083-9.
  • Anders JF, Powell EC. Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients. Archives of pediatrics & adolescent medicine. 2005;159(6):532-5.
  • Bayer AI, Wiskind AK. Adnexal torsion: can the adnexa be saved? American journal of obstetrics and gynecology. 1994;171(6):1506-11.
  • Bellati F, Ruscito I, Gasparri ML, Antonilli M, Pernice M, Vallone C, et al. Effects of unilateral ovariectomy on female fertility outcome. Archives of gynecology and obstetrics. 2014;290(2):349-53.
  • Bodur S, Alanbay I, Karasahin KE, Kinci MF, Fidan U, Keskin U. Chronic Ovarian Torsion Mimicking Subserosal Postmenopausal Fibroid. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2016;206:e137.
  • Bronstein ME, Pandya S, Snyder CW, Shi Q, Muensterer OJ. A meta-analysis of B-mode ultrasound, Doppler ultrasound, and computed tomography to diagnose pediatric ovarian torsion. European Journal of Pediatric Surgery. 2015;25(01):82-6.
  • Chang S-D, Yen C-F, Lo L-M, Lee C-L, Liang C-C. Surgical intervention for maternal ovarian torsion in pregnancy. Taiwanese Journal of Obstetrics and Gynecology. 2011;50(4):458-62.
  • Chiou S-Y, Lev-Toaff AS, Masuda E, Feld RI, Bergin D. Adnexal torsion: new clinical and imaging observations by sonography, computed tomography, and magnetic resonance imaging. Journal of Ultrasound in Medicine. 2007;26(10):1289-301.
  • Eitan R, Galoyan N, Zuckerman B, Shaya M, Shen O, Beller U. The risk of malignancy in post-menopausal women presenting with adnexal torsion. Gynecologic oncology. 2007;106(1):211-4.
  • Ekmekci E, Aydogmus H, Ergun Y, Eren R. Analyzing adnexiel torsion cases recognized in our clinic retrospectively. Turkiye Klinikleri Journal of Gnynecology and Obstetrics. 2010;20(5):287.
  • Gunay T, Yardimci Od, Hocaoğlu M, Bör Ed, Erdem G. Ovarian Torsion and Surgical Treatment: 5 years experience of a tertiary center. Journal of Kahramanmaras Sutcu Imam University Faculty of Medicine.2018;13(2):33-42.
  • Hibbard LT. Adnexal torsion. American journal of obstetrics and gynecology. 1985;152(4):456-61.
  • Houry D, Abbott JT. Ovarian torsion: a fifteen-year review. Annals of emergency medicine. 2001;38(2):156-9.
  • Huchon C, Fauconnier A. Adnexal torsion: a literature review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2010;150(1):8-12.
  • Lomano jm, Trelford jd, Ullery jc. Torsion of the uterine adnexa causing an acute abdomen. Obstetrics & Gynecology. 1970;35(2):221-5.
  • Mashiach R, Melamed N, Gilad N, Ben-Shitrit G, Meizner I. Sonographic diagnosis of ovarian torsion: accuracy and predictive factors. Journal of Ultrasound in Medicine. 2011;30(9):1205-10.
  • Mazouni C, Bretelle F, Menard J, Blanc B, Gamerre M. Diagnosis of adnexal torsion and predictive factors of adnexal necrosis. Gynecologie, obstetrique & fertilite. 2005;33(3):102-6.
  • McGovern PG, Noah R, Koenigsberg R, Little AB. Adnexal torsion and pulmonary embolism: case report and review of the literature. Obstetrical & gynecological survey. 1999;54(9):601-8.
  • Moribata Y, Kido A, Yamaoka T, Mikami Y, Himoto Y, Kataoka M, et al. MR imaging findings of ovarian torsion correlate with pathological hemorrhagic infarction. Journal of Obstetrics and Gynaecology Research. 2015;41(9):1433-9.
  • Noviello C, Romano M, Papparella A, Ciavattini A, Martino A, Cobellis G. The isolated tubal torsion: an insidious pediatric and adolescent pelvic urgency. La Pediatria Medica e Chirurgica. 2018;40(2):48-51
  • Naiditch JA, Barsness KA. The positive and negative predictive value of transabdominal color Doppler ultrasound for diagnosing ovarian torsion in pediatric patients. Journal of pediatric surgery. 2013;48(6):1283-7.
  • Oelsner G, Cohen SB, Soriano D, Admon D, Mashiach S, Carp H. Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function. Human Reproduction. 2003;18(12):2599-602.
  • Oltmann SC, Fischer A, Barber R, Huang R, Hicks B, Garcia N. Pediatric ovarian malignancy presenting as ovarian torsion: incidence and relevance. Journal of pediatric surgery. 2010;45(1):135-9.
  • Parelkar SV, Mundada D, Sanghvi BV, Joshi PB, Oak SN, Kapadnis SP, et al. Should the ovary always be conserved in torsion? A tertiary care institute experience. Journal of pediatric surgery. 2014;49(3):465-8.
  • Rody A, Jackisch C, Klockenbusch W, Heinig J, Coenen-Worch V, Schneider H. The conservative management of adnexal torsion—a case-report and review of the literature. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2002;101(1):83-6.
  • Rossi BV, Ference EH, Zurakowski D, Scholz S, Feins NR, Chow JS, et al. The clinical presentation and surgical management of adnexal torsion in the pediatric and adolescent population. Journal of pediatric and adolescent gynecology. 2012;25(2):109-13.
  • Santra D, Dasgupta A, Ray N, Talukder A, Dasgupta S. Adnexal Torsion: Clinical Presentations and Challenges. Journal of Clinical & Diagnostic Research. 2018;12(6).
  • Savic D, Stankovic ZB, Djukic M, Mikovic Z, Djuricic S. Torsion of malignant ovarian tumors in childhood and adolescence. Journal of Pediatric Endocrinology and Metabolism. 2008;21(11):1073-8.
  • Shadinger LL, Andreotti RF, Kurian RL. Preoperative sonographic and clinical characteristics as predictors of ovarian torsion. Journal of Ultrasound in Medicine. 2008;27(1):7-13.
  • White M, Stella J. Ovarian torsion: 10‐year perspective. Emergency Medicine Australasia. 2005;17(3):231-7.
  • Wilkinson C, Sanderson A. Adnexal torsion—a multimodality imaging review. Clinical radiology. 2012;67(5):476-83.
There are 31 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Bora Çoşkun

Burcu Timur 0000-0001-8769-5949

Buğra Çoşkun 0000-0003-1938-3833

Ferdi Kıncı This is me 0000-0003-0487-1201

Coşkun Şimşir 0000-0003-1825-6584

Publication Date August 28, 2019
Published in Issue Year 2019 Volume: 5 Issue: 2

Cite

Vancouver Çoşkun B, Timur B, Çoşkun B, Kıncı F, Şimşir C. Clinical and Pathologic Evaluation of Adnexal Torsion Patients in Adolescence, Reproductive and Postmenopausal Periods. Mid Blac Sea J Health Sci. 2019;5(2):85-92.

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