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Ultrasound Obstet Gynecol 2022 Jun 25. Epub 2022 Jun 25.

Department of Obstetrics and Gynecology, Clínica Universidad de Navarra, Pamplona, Spain.

Objective: To evaluate the diagnostic accuracy of different ultrasound signs for diagnosing adnexal torsion (AT), using surgery as the reference standard.

Methods: A search was performed in PubMed/MEDLINE, CINAHL, Scopus, Cochrane, ClinicalTrials.gov and Web of Science databases (January 1990 to November 2021) for studies evaluating the presence of ovarian edema, an adnexal mass, Doppler flow findings and the whirlpool sign as ultrasound signs (index tests) for detecting AT, using surgical findings as reference standard. Read More

Arch Gynecol Obstet 2022 Jun 25. Epub 2022 Jun 25.

Department of Pediatric Surgery "Spirito Santo", Hospital of Pescara "G.D'annunzio", University Chieti-Pescara, Pescara, Italy.

Study Objective: Ovarian torsion (OT) in pediatric age is a challenging condition to diagnose and treat. To date, there is still no clear consensus about its management. Our aim was to assess some possible associated factors that can help surgeons in decision-making. Read More

J Med Imaging Radiat Oncol 2022 Jun 25. Epub 2022 Jun 25.

Department of Radiology, University of Yamanashi, Chuo-shi, Yamanashi, Japan.

Gynaecologic emergencies include diseases resulting from adnexal and uterine disorders. Some emergencies are life threatening; however, they often have non-specific symptoms and physical findings. Thus, imaging diagnosis is important for evaluating these conditions. Read More

Medicina (Kaunas) 2022 Jun 13;58(6). Epub 2022 Jun 13.

Gynecology and Obstetrics Unit, Department of Medicine, Surgery and Dentistry Schola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy.

: To assess the use of near infrared radiation imaging after injection of indocyanine green (NIR-ICG) during laparoscopic treatment of benign gynecologic conditions. : A systematic review of the literature was performed searching 7 electronic databases from their inception to March 2022 for all studies which assessed the use of NIR-ICG during laparoscopic treatment of benign gynecological conditions. : 16 studies (1 randomized within subject clinical trial and 15 observational studies) with 416 women were included. Read More

Surg Technol Int 2022 Jun 23;40. Epub 2022 Jun 23.

Department of Minimally Invasive Surgery Unit of Centro Hospitalar Universitário do Porto, Porto, Portugal.

This review summarizes the evidence-based recommendations for how to approach and laparoscopically treat adnexal masses during pregnancy. We conducted a comprehensive review of studies related to the laparoscopic management of adnexal masses during pregnancy. Selected studies were independently reviewed by two authors. Read More

Pediatr Int 2022 Jan;64(1):e15193

Department of Digestive and General Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.

Background: Although pediatric inguinal hernia (IH) is a very common disease, systematic reviews of herniated organs are scarce. The current study aims to clarify the contents of pediatric IH using preoperative ultrasonography (US) in association with patient age, sex, and risk for developing irreducible/strangulated hernia.

Methods: The medical records of pediatric IH patients who underwent inguinal US examination prior to surgery between 2014 and 2019 were reviewed. Read More

Virchows Arch 2022 Jun 14. Epub 2022 Jun 14.

Department of Gynecology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.

Microcystic stromal tumors (MCSTs) of the ovary are rare sex cord-stromal tumors that are considered benign neoplasms because almost all cases display unilateral, localized lesions and have benign outcomes, except for one recurrent case with familial adenomatous polyposis and another initial metastatic case with a CTNNB1 mutation. We report herein a sporadic case that relapsed as intra-abdominal spread 9 years and 1 month after primary left salpingo-oophorectomy for torsion of the ovarian tumor pedicle. The tumor relapsed as multiple disseminations at the subabdominal wall, Douglas pouch, and omentum. Read More

Fertil Steril 2022 Jun 9. Epub 2022 Jun 9.

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Freiburg, Germany.

Objective: To share our experience of intravenous indocyanine green (ICG) application during conservative ovarian surgery in a young patient with adnexal torsion, a large ovarian cyst, and apparent ovarian necrosis.

Design: This confirmatory video of ovarian reperfusion uses footage from the laparoscopic treatment and ICG application in a young patient with adnexal torsion and apparent necrosis.

Setting: Academic, multisite medical center. Read More

J Med Ultrason (2001) 2022 Jun 11. Epub 2022 Jun 11.

Obstetrics and Gynecology, Yodogawa Christian Hospital, 1-7-50 Kunijima, Higashiyodogawa-ku, Osaka, 533-0024, Japan.

Ultrasound is a minimally invasive technique recommended for the evaluation of abdominal pain in young, premenopausal women and pregnant women. Ectopic pregnancy, ovarian cyst torsion, ovarian hemorrhage, myoma degeneration, and pyometra can be detected with point-of-care ultrasound (POCUS) in the case of acute abdominal pain. This article describes the utility of POCUS in females with abdominal pain in obstetrics and gynecological diseases. Read More

Int J Gen Med 2022 27;15:5273-5284. Epub 2022 May 27.

Clinical Medical Department, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, Galati, Romania.

Background: The incidence of ovarian cystic lesions (OCLs) in pediatric patients has been increasing in recent years. An early diagnosis is mandatory for a favourable prognosis but it depends on the primary medical care services and on the socioeconomic status of the patient. The present study aims at assessing the prevalence and the age-specific frequencies of pediatric OCLs, as well as identifying disparities between subjects in the urban and the rural areas, in order to explore the extent to which OCLs occurrence, diagnosis, evolution and treatment differ in the case of patients living in rural areas. Read More

J Minim Invasive Gynecol 2022 May 29. Epub 2022 May 29.

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan. Electronic address:

Study Objective: To characterize emergency department (ED) utilization for adnexal torsion (AT) among adult patients in the United States.

Design: Retrospective analysis to identify primary AT diagnoses and ED utilization. Other variables analyzed included primary payer type, income quartile by ZIP code, hospital teaching status, and urban vs rural location. Read More

World J Emerg Med 2022 ;13(3):229-231

Department of Pediatrics, Division of Pediatric Emergency Medicine, McMaster University, Hamilton 8S 4L8, Canada.

Pediatr Emerg Care 2022 Jun 28;38(6):e1332-e1335. Epub 2022 Feb 28.

Division of Pediatric Emergency Medicine, Department of Pediatrics.

Objectives: Ovarian torsion (OT) is an emergency that mandates early detection and surgical detorsion to avoid catastrophic consequences of further adnexal injury. Prompt ultrasound is critical for accurate diagnosis. Traditionally, evaluation of arterial and venous flow was used as a diagnostic tool for OT, but recent radiologic research has indicated that ovarian size and size discrepancy between sides is a better diagnostic criterion. Read More

J Biochem Mol Toxicol 2022 May 27:e23114. Epub 2022 May 27.

Department of Medical Biochemistry, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.

Late diagnosis and treatment of ovarian ischemia can lead to worsening of ischemia, irreversible damage to ovarian functions and infertility. In this process, there is no approved medical treatment that can reduce the negative effects of ischemia and contribute positively to ovarian functions during reperfusion after detorsion. Rats were randomly assigned into one of six groups of eight animals each. Read More

Ann Surg Oncol 2022 May 24. Epub 2022 May 24.

UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

Preservation of ovarian function is important for the physical and psychosexual well-being of young patients with cancer. Patients with pelvic malignancies such as cervical or rectal cancer planned for radiotherapy may benefit from ovarian transposition with the aim of moving the ovaries outside the radiation field. Different surgical techniques have been reported previously. Read More

Rev Assoc Med Bras (1992) 2022 May;68(5):641-646

Giresun University Faculty of Medicine, Department of Radiology - Giresun, Turkey.

Objective: This study aimed to evaluate the feasibility of texture analysis on T2-weighted axial images in differentiating affected and nonaffected ovaries in ovarian torsion.

Methods: We included 22 torsioned ovaries and 19 healthy ovaries. All patients were surgically proven ovarian torsion cases. Read More

J Minim Invasive Gynecol 2022 May 13. Epub 2022 May 13.

Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv (Drs. Akdam, Fouks, Ram, Laskov, Levin, and Cohen), Israel.

Study Objective: To identify risk factors for recurrent ovarian torsion and evaluation of the efficacy of oophoropexy techniques.

Design: Case control study.

Setting: Tertiary university-affiliated medical center. Read More

Case Rep Obstet Gynecol 2022 27;2022:1798599. Epub 2022 Apr 27.

National Hospital of Sri Lanka, Colombo, Sri Lanka.

. Torsion of the ovary, tube, or both is estimated to be responsible for 2-7% of all gynaecological emergencies. Oophorectomy is commonly performed for adnexal torsion with a possible negative impact on fertility in women of reproductive age. Read More

J Radiol Case Rep 2022 Apr 1;16(4):17-23. Epub 2022 Apr 1.

Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India.

Massive ovarian edema is an uncommon benign condition affecting young females predominantly those in the child bearing age group and preadolescent girls. Its clinical and radiologic overlap with ovarian neoplasms and torsion which require surgical intervention makes it imperative for the radiologist to consider this entity preoperatively as preserving fertility is vital in this young age group. We report a case of massive ovarian edema, a rare presentation in a patient with inferior vena cava web and consequent Budd Chiari Syndrome, an association previously unreported in literature. Read More

J Clin Ultrasound 2022 05;50(4):532-534

Department of Obstetrics, Gynecology, Santa Maria Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), AUSL di Reggio Emilia, Reggio Emilia, Italy.

Ther Clin Risk Manag 2022 29;18:513-522. Epub 2022 Apr 29.

Clinical Medical Department, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, Galați, Romania.

Paraovarian cysts (POCs) develop within the broad ligament of the uterus. POCs are considered to be giant when the threshold of 150 mm is exceeded. Clinical signs and symptoms occur as a consequence of the pressure effect on adjacent organs or due to complications. Read More

Case Rep Womens Health 2022 Apr 25;34:e00412. Epub 2022 Apr 25.

Northern Health, 185 Cooper St, Epping, VIC 3076, Australia.

Background: Fallopian tube torsion is a rare finding in women presenting with abdominal pain, and it is exceedingly rare for it to be associated with concomitant appendicitis. The clinical presentation of isolated fallopian tube torsion can be a diagnostic problem because there are no specific clinical features. Early consideration of the diagnosis and prompt surgical management are required, as this can help to preserve the fallopian tube. Read More

Chin J Physiol 2022 Mar-Apr;65(2):64-71

Department of Medical Physiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

This study aimed to evaluate the possible protective effect of platelet-rich plasma (PRP) on ischemia reperfusion (I/R)-induced ovarian injury in a rat model. Forty adult female albino rats were randomly assigned to four groups: control, ischemia, I/R, and I/R + intraperitoneal PRP. Induction of ischemia was done by bilateral ovarian torsion for 3 h, while reperfusion was done by subsequent detorsion for another 3 h. Read More

J Surg Res 2022 Sep 25;277:84-91. Epub 2022 Apr 25.

Cohen Children's Medical Center, Division of Pediatric Surgery, Northwell Health, Queens, New York. Electronic address:

Introduction: Clinical and radiographic findings often lead to diagnostic laparoscopy for presumed adnexal torsion (AT). To better understand the preoperative factors leading to AT, we evaluated the clinical course of patients with ultrasound findings concerning for AT to assess intraoperative AT rates and predictive factors for AT.

Methods: An institutional review board-approved retrospective review in two hospital centers over a period of 5 y was performed for females (4-18 y) with ultrasound (US) findings concerning for AT (n = 225). Read More

Arch Gynecol Obstet 2022 Apr 24. Epub 2022 Apr 24.

Department of Obstetrics and Gynaecology, Westmead Hospital, Westmead, NSW, Australia.

Purpose: The primary objective of this study is to identify if and which clinical factors may influence surgical decision-making when managing premenopausal women who present emergently with adnexal torsion (AT).

Methods: This retrospective cohort study was conducted at a single tertiary hospital. Medical records for all admissions for AT between 1 January 2010 and 30 June 2020 were reviewed and data regarding patient demographics, history of torsion, and the index admission were collected. Read More

Abdom Radiol (NY) 2022 Jun 13;47(6):2220-2229. Epub 2022 Apr 13.

Department of Radiology/Subdivision of Pediatric Radiology, Hacettepe University School of Medicine, Sihhiye, 06100, Ankara, Turkey.

Pediatric patients of various ages, from infancy through adolescence, can have ovarian torsion. Torsion may not only be confined to the ovaries but may also involve the isolated cyst, tube, and even the uterus. In this pictorial review, we review the spectrum of torsion in pediatric (from infants to adolescents) female pelvis, emphasizing imaging methods. Read More

Case Rep Obstet Gynecol 2022 22;2022:9419963. Epub 2022 Feb 22.

Department of Obstetrics & Gynecology, Riverside Community Hospital, Graduate Medical Education, HCA Healthcare, 4445 Magnolia Ave, Riverside, CA 92501, USA.

Background: Adnexal torsion is the fifth most common gynecologic emergency accounting for approximately 20 to 30% of ovarian surgeries in pediatric patients.

Case: The patient is a ten-year-old female who presented to the emergency room for severe left lower quadrant abdominal pain. On presentation, she was hemodynamically stable with an acute abdomen. Read More

J Pediatr Hematol Oncol 2022 Apr 5. Epub 2022 Apr 5.

Department of Pediatric Surgery, Traumatology, and Urology, Karol Jonscher University Hospital, Poznań University of Medical Sciences.

Background: In newborns and infants, ovarian lesions can be detected during ultrasound examination before or after birth. Malignant ovarian lesions account for <1% of malignancies in newborns. However, in case of doubt about the nature of the lesion, surgery with tissue collection for histopathologic evaluation should be considered with the absolute condition of fertility preservation. Read More

Am J Emerg Med 2022 Jun 31;56:145-150. Epub 2022 Mar 31.

SAUSHEC, Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Electronic address:

Introduction: Ovarian torsion is a rare, frequently misdiagnosed condition that carries with it a high rate of morbidity.

Objective: This review highlights the pearls and pitfalls of ovarian torsion, including presentation, evaluation, and management in the emergency department (ED) based on current evidence.

Discussion: Ovarian torsion is one of the most common gynecological surgical emergencies and occurs with complete or partial rotation of the ovary along the supporting ligaments, obstructing vascular flow. Read More

Abdom Radiol (NY) 2022 Jun 8;47(6):2209-2219. Epub 2022 Apr 8.

Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Sciences Center, 600 Highland Ave, Madison, WI, 53792, USA.

Objective: To determine the clinical impact of the second examination when both CT and TVUS are obtained in the same ED visit for acute pelvic/lower abdominal symptoms in non-pregnant premenopausal women.

Methods: 200 consecutive non-pregnant premenopausal women (mean age, 31.8 years; range, 18-49 years) who underwent both ED-based TVUS and abdominopelvic CT evaluation for acute symptoms over a 12 month period were included; 107 women had TVUS first, followed by CT; 93 women had CT first. Read More