title: No. 341-Diagnosis and Management of Adnexal Torsion in Children, Adolescents, and Adults.
abstract: OBJECTIVE
  To review the evidence and provide recommendations on the diagnosis and management of adnexal torsion in children, adolescents, and women.
  
  
  RESULTS
  Elements evaluated include the risk factors, diagnostic accuracy, management options, and outcomes of adnexal torsion.
  
  
  METHODS
  Published literature was retrieved through searches of MEDLINE, Embase, CINAHL, and the Cochrane Library using appropriate controlled vocabulary and key words ("adnexal torsion," "ovarian torsion"). Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. Searches were updated on a regular basis and new material incorporated in the guideline to December 2014. Grey (unpublished) literature was identified through searching the websites of health technology assessment and related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies.
  
  
  METHODS
  The evidence obtained was reviewed and evaluated by the Canadian Paediatric and Adolescent Gynaecology and Obstetrics Committee of the Society of Obstetricians and Gynaecologists of Canada (SOGC) under the leadership of the principal authors. Recommendations were made according to guidelines developed by the Canadian Task Force on the Periodic Health Examination.
  
  
  RESULTS
  Guideline implementation should assist the practitioner in developing an optimal approach to the diagnosis and management of adnexal torsion while minimizing harm and improving patient outcomes.
  
  
  RESULTS
  These guidelines have been reviewed and approved by the Gynaecology Committee of the SOGC and approved by the council of the SOGC.
  
  
  BACKGROUND
  The Society of Obstetricians and Gynaecologists of Canada SUMMARY STATEMENTS: RECOMMENDATIONS.
authors.affiliation: Toronto ON.
authors.forename: Sari
authors.initials: S
authors.lastname: Kives
authors.affiliation: Montreal QC.
authors.forename: Suzy
authors.initials: S
authors.lastname: Gascon
authors.affiliation: Montreal QC.
authors.forename: Élise
authors.initials: É
authors.lastname: Dubuc
authors.affiliation: Halifax NS.
authors.forename: Nancy
authors.initials: N
authors.lastname: Van Eyk
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000291:Adnexal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D002170:Canada; D002648:Child; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010053:Ovary / Q000503:physiopathology / Q000601:surgery; D012307:Risk Factors; D014102:Torsion Abnormality / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D018615:Ultrasonography, Doppler, Color
keywords: Torsion; adnexa disease; ovary; ovary disease; uterine tube disease