Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical Center
Introduction: This study aimed to draw attention to the clinical, sonographic, intraoperative, and pathological signs and symptoms of histopathologically confirmed ovarian torsion cases and their relationship with each other.Methods: The medical data of histopathologically confirmed ovarian torsion...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2018-09-01
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| Series: | İstanbul Medical Journal |
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http://imj.galenos.com.tr/archives/archive-detail/article-preview/ovarian-torsion-10-years-experience-of-a-tertiary-/20242
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| _version_ | 1797905755885535232 |
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| author | Besim Haluk Bacanakgil Işık Kaban Mustafa Deveci Mushvige Hasanova |
| author_facet | Besim Haluk Bacanakgil Işık Kaban Mustafa Deveci Mushvige Hasanova |
| author_sort | Besim Haluk Bacanakgil |
| collection | DOAJ |
| description | Introduction: This study aimed to draw attention to the clinical, sonographic, intraoperative, and pathological signs and symptoms of histopathologically confirmed ovarian torsion cases and their relationship with each other.Methods: The medical data of histopathologically confirmed ovarian torsion cases, which were diagnosed and operated in the 10-year period, were retrospectively analyzed. Data were analyzed according to demographical, clinicopathological, and sonographic findings.Results: Mean age was 33.6±13.8 years. Abdominal or pelvic pain was the main symptom in all patients with ovarian torsion in our study. The main sonographic findings were diffused ovarian hyperechogenicity, increased ovarian size, and free fluid (periovarian or in cul-desac). In Doppler sonography, 2/3 of the patients showed abnormal findings. 75% of patients had been urgent intervention. The mean intervention time was 49 hours. The number of ovarian pedicles twisting was approximately 3. The twisting count of pedicle was higher in cases with abnormal Doppler sonographic findings. In the 75% cases, torsioned ovaries were black. Statistically, the twisting number of black ovaries was higher and intervention time was shorter. Adnexectomy was the main surgical procedure.Conclusion: To maximize the chance of right diagnosis of ovarian torsion, we should carefully investigate acute abdominopelvic pain and combine the sonographic and Doppler findings with clinical features. Early diagnosis and early surgical intervention allow continuation of ovarian viability and preservation of fertility. |
| first_indexed | 2024-04-10T10:10:17Z |
| format | Article |
| id | doaj.art-852eaae76b604f1fbc0c887835686b86 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T10:10:17Z |
| publishDate | 2018-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-852eaae76b604f1fbc0c887835686b862023-02-15T16:22:13ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2018-09-0119325826210.5152/imj.2018.1644213049054Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical CenterBesim Haluk Bacanakgil0Işık Kaban1Mustafa Deveci2Mushvige Hasanova3 Gynecology and Obstetrics Clinic, Health Sciences University İstanbul Training and Research Hospital, İstanbul, Turkey Gynecology and Obstetrics Clinic, Health Sciences University İstanbul Training and Research Hospital, İstanbul, Turkey Gynecology and Obstetrics Clinic, Health Sciences University İstanbul Training and Research Hospital, İstanbul, Turkey Gynecology and Obstetrics Clinic, Health Sciences University İstanbul Training and Research Hospital, İstanbul, Turkey Introduction: This study aimed to draw attention to the clinical, sonographic, intraoperative, and pathological signs and symptoms of histopathologically confirmed ovarian torsion cases and their relationship with each other.Methods: The medical data of histopathologically confirmed ovarian torsion cases, which were diagnosed and operated in the 10-year period, were retrospectively analyzed. Data were analyzed according to demographical, clinicopathological, and sonographic findings.Results: Mean age was 33.6±13.8 years. Abdominal or pelvic pain was the main symptom in all patients with ovarian torsion in our study. The main sonographic findings were diffused ovarian hyperechogenicity, increased ovarian size, and free fluid (periovarian or in cul-desac). In Doppler sonography, 2/3 of the patients showed abnormal findings. 75% of patients had been urgent intervention. The mean intervention time was 49 hours. The number of ovarian pedicles twisting was approximately 3. The twisting count of pedicle was higher in cases with abnormal Doppler sonographic findings. In the 75% cases, torsioned ovaries were black. Statistically, the twisting number of black ovaries was higher and intervention time was shorter. Adnexectomy was the main surgical procedure.Conclusion: To maximize the chance of right diagnosis of ovarian torsion, we should carefully investigate acute abdominopelvic pain and combine the sonographic and Doppler findings with clinical features. Early diagnosis and early surgical intervention allow continuation of ovarian viability and preservation of fertility. http://imj.galenos.com.tr/archives/archive-detail/article-preview/ovarian-torsion-10-years-experience-of-a-tertiary-/20242 Ovarysonographytorsion |
| spellingShingle | Besim Haluk Bacanakgil Işık Kaban Mustafa Deveci Mushvige Hasanova Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical Center İstanbul Medical Journal Ovary sonography torsion |
| title | Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical Center |
| title_full | Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical Center |
| title_fullStr | Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical Center |
| title_full_unstemmed | Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical Center |
| title_short | Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical Center |
| title_sort | ovarian torsion 10 years experience of a tertiary medical center |
| topic | Ovary sonography torsion |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/ovarian-torsion-10-years-experience-of-a-tertiary-/20242
|
| work_keys_str_mv | AT besimhalukbacanakgil ovariantorsion10yearsexperienceofatertiarymedicalcenter AT isıkkaban ovariantorsion10yearsexperienceofatertiarymedicalcenter AT mustafadeveci ovariantorsion10yearsexperienceofatertiarymedicalcenter AT mushvigehasanova ovariantorsion10yearsexperienceofatertiarymedicalcenter |