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.
Department of Obstetrics and Gynecology, University of Florida, Gainesville.
R
R
Wagaman
R S
RS
Williams
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