title: Adnexal torsion: a report on forty-five cases.
abstract: 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.
authors.affiliation: Clinique Gynécologique et Obstétricale, Pavillon Mère et Enfant, Hôpital Charles Nicolle, 1 rue de Germont, 76031 Cedex, Rouen, France. gerome.descargues@chu-rouen.fr
authors.forename: G
authors.initials: G
authors.lastname: Descargues
authors.forename: F
authors.initials: F
authors.lastname: Tinlot-Mauger
authors.forename: A
authors.initials: A
authors.lastname: Gravier
authors.forename: J P
authors.initials: JP
authors.lastname: Lemoine
authors.forename: L
authors.initials: L
authors.lastname: Marpeau
mesh_terms: 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