title: Plasma D-dimer level in the diagnosis of adnexal torsion.
abstract: OBJECTIVE
  To date, there is no clinical or laboratory examination particular to adnexal torsion (AT); therefore, the objective of this study was to evaluate whether the plasma D-dimer level has any merit in establishing a diagnosis in AT patients.
  
  
  METHODS
  In total, 34 women who underwent laparoscopic surgery due to adnexal mass were incorporated into our study. While the study group consisted of 14 women operated on due to AT, the control group comprised of 20 patients operated on due to benign ovarian cysts. In order to study the plasma D-dimer level during the pre-operative period, venous blood samples were obtained from all the women who participated in this study.
  
  
  RESULTS
  The plasma D-dimer level in the AT group was seen to be significantly higher than that of the control group (2.20 ± 1.71 µg/ml, 0.43 ± 0.21 µg/ml, p = 0.002, respectively). When the cut-off value for the D-dimer level was taken as 0.65 µg/ml, the sensitivity in determining the AT was found to be 71.4%, whereas the specificity was 85%.
  
  
  CONCLUSIONS
  The results obtained from our present study suggest that the plasma D-dimer level could be a supplementary laboratory examination in establishing diagnoses in AT patients.
authors.affiliation: Department of Gynecology and Obstetrics, Harran University School of Medicine , Sanlıurfa , Turkey and.
authors.forename: Adnan
authors.initials: A
authors.lastname: Incebiyik
authors.forename: Aysun
authors.initials: A
authors.lastname: Camuzcuoglu
authors.forename: Nese Gul
authors.initials: NG
authors.lastname: Hilali
authors.forename: Mehmet
authors.initials: M
authors.lastname: Vural
authors.forename: Hakan
authors.initials: H
authors.lastname: Camuzcuoglu
mesh_terms: D000291:Adnexal Diseases / Q000097:blood* / Q000175:diagnosis; D000328:Adult; D015415:Biomarkers / Q000097:blood; D016022:Case-Control Studies; D005260:Female; D005338:Fibrin Fibrinogen Degradation Products / Q000378:metabolism*; D006801:Humans; D011446:Prospective Studies; D014102:Torsion Abnormality / Q000097:blood* / Q000175:diagnosis; D055815:Young Adult
chemical_list: D015415:Biomarkers; D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D
keywords: Adnexal torsion; D-dimer level; leukocyte