Conservative therapy for adnexal torsion. A case report.
Adnexal torsion has traditionally been treated with oophorectomy because of the fear that untwisting the ovarian pedicle may result in a thrombotic embolus. Such a patient had bilateral adnexal torsion secondary to dermoid cysts. Since standard therapy, oophorectomy, was performed, the patient was surgically castrated. A review of the literature revealed no reported cases of a thrombotic embolus arising from the untwisting of twisted adnexa and supported conservation of the adnexa rather than routine extirpation, except when necrotic.
Wagaman
R
R
Department of Obstetrics and Gynecology, University of Florida, Gainesville.
Williams
R S
RS
D000291:Adnexal Diseases / Q000150:complications / Q000209:etiology / Q000601:surgery*; D000328:Adult; D003884:Dermoid Cyst / Q000150:complications*; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications*; D010052:Ovariectomy; D012008:Recurrence; D013923:Thromboembolism / Q000209:etiology / Q000517:prevention & control*; D014102:Torsion Abnormality