title: Bilateral torsion of the adnexa: a case report and a review of the world literature.
abstract: The 15th case of bilateral adnexal torsion, or the fifth case in which the bilateral adnexal torsion did not occur simultaneously, is presented. A review of the cases reported in the world literature reveals that fever (82%), nausea and/or vomiting (73%), and abdominal pain (93%) were the most common symptoms. Previous recurrent attacks of abdominal pain occurred in 53% of patients and may be the one finding that is highly suggestive of this entity. The adnexa were histologically normal in 50% of the specimens, with the remaining adnexal tissues manifesting evidence of tubal infection (ie, hydrosalpinx and pyosalpinx). The diagnosis was suspected preoperatively in only 38% of the cases.
mesh_terms: D000291:Adnexal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005187:Fallopian Tubes / Q000473:pathology; D005260:Female; D006801:Humans; D007223:Infant; D007238:Infarction / Q000473:pathology; D010535:Laparoscopy; D007813:Laparotomy; D008875:Middle Aged; D010053:Ovary / Q000473:pathology; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis; D012008:Recurrence; D014102:Torsion Abnormality; D014599:Uterus / Q000473:pathology