Adnexal torsion. A clinicopathologic review of 31 cases.
OBJECTIVE
To evaluate the correlation between clinical parameters, intraoperative assessment of tissue viability and histopathology in adnexal torsion.


METHODS
A retrospective study of 31 patients undergoing surgical intervention for adnexal torsion was performed, and clinical and pathologic parameters were compared.


RESULTS
Intraoperative evaluation of viability was confirmed in 10/12 cases. Impression of necrosis was confirmed in 18/19 cases. Fever was seen in 2/12 patients with viable adnexa and in 7/19 patients with necrosis.


CONCLUSIONS
Intraoperative impression of tissue viability correlated well with histopathology. Fever was significantly associated with tissue necrosis.
Kruger
E
E
Department of Obstetrics and Gynecology, Tulane Medical Center, New Orleans, Louisiana, USA.
Heller
D S
DS
D000290:Adnexa Uteri / Q000473:pathology* / Q000601:surgery; D000291:Adnexal Diseases / Q000473:pathology* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007432:Intraoperative Period; D008875:Middle Aged; D009336:Necrosis; D012189:Retrospective Studies; D014102:Torsion Abnormality / Q000473:pathology / Q000601:surgery