[Adnexal torsion: a report of 135 cases].
OBJECTIVE
To evaluate the clinical findings and therapeutic options following adnexal torsion.


METHODS
A retrospective series of 135 patients presenting with adnexal torsion between January 1992 and December 2001 in Sousse- Tunisia- a university teaching hospital.


RESULTS
Adnexal torsion accounted for 14.8% of surgically treated adnexal tumors. Pregnancy was associated in 17% of cases and diagnosis was accurate at first clinical examination in only 57.8% of cases. Ultrasound allowed visualisation of Adnexal Diseases in all cases. Operative laparoscopy was successfully achieved in 34% of patients. Conservative management was used in 57% of the premenopausal patients. No major postoperative complication was noted.


CONCLUSIONS
Clinicians must be aware of a possible adnexal torsion in women with acute pelvic pain. Ultrasound is a useful tool in these situations. Laparoscopy allows diagnosis and surgical management even during pregnancy.
Service de Gynécologie Obstétrique, Hôpital Farhat Hached, Sousse, Tunisie.
S
S
Bouguizane
H
H
Bibi
Y
Y
Farhat
S
S
Dhifallah
F
F
Darraji
S
S
Hidar
L
L
Lassoued
A
A
Chaieb
H
H
Khairi
D015746:Abdominal Pain / Q000209:etiology; D000291:Adnexal Diseases / Q000175:diagnosis* / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000601:surgery; D012189:Retrospective Studies; D014102:Torsion Abnormality / Q000175:diagnosis / Q000601:surgery