Ovarian Torsion: 10 Years’ Experience of a Tertiary Medical Center

Abstract

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.

Keywords

• Ovary
• sonography
• torsion