Adnexal torsion: a report on forty-five cases.
OBJECTIVE
To evaluate the clinical findings, evolution of treatment and ovarian function following conservative therapy.


METHODS
A case series of 45 patients presenting with adnexal torsion between January 1989 and June 1999. All patients were surgically treated, either conservatively or radically. Patients who had received conservative treatment, interviewed by phone and underwent ovarian sonographic examination.


RESULTS
Adnexal torsion is more frequent in young women with adnexal pathology. Conservative therapy by laparoscopy has gained increasing preference as a surgical procedure. It is safe and preserves ovarian function.


CONCLUSIONS
Conservative therapy by laparoscopy is recommended to preserve ovarian function in young women.
Descargues
G
G
Clinique Gynécologique et Obstétricale, Pavillon Mère et Enfant, Hôpital Charles Nicolle, 1 rue de Germont, 76031 Cedex, Rouen, France. gerome.descargues@chu-rouen.fr
Tinlot-Mauger
F
F
Gravier
A
A
Lemoine
J P
JP
Marpeau
L
L
D000291:Adnexal Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007964:Leukocytosis; D008875:Middle Aged; D010048:Ovarian Cysts / Q000150:complications; D010053:Ovary / Q000503:physiopathology; D010146:Pain; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications; D014102:Torsion Abnormality; D014463:Ultrasonography