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Lancet Oncol 2019 Feb 5. Epub 2019 Feb 5.

Department of Development and Regeneration, KU Leuven, Leuven, Belgium; Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium. Electronic address:

Background: Ovarian tumours are usually surgically removed because of the presumed risk of complications. Few large prospective studies on long-term follow-up of adnexal masses exist. We aimed to estimate the cumulative incidence of cyst complications and malignancy during the first 2 years of follow-up after adnexal masses have been classified as benign by use of ultrasonography. Read More

Medicine (Baltimore) 2019 Feb;98(5):e14321

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University.

There is no uniform standard to assess the viability of the ovary and choose conservative surgery or radical surgery for patients with adnexal torsion. This retrospective study aims to explore the characteristics of patients with adnexal torsion and the outcomes of different surgical procedures.A retrospective analysis of 174 cases diagnosed with adnexal torsion at our hospital between January 2005 and October 2014 was performed. Read More

Adv Clin Exp Med 2019 Jan 15. Epub 2019 Jan 15.

Department of Gynecology, Endocrinology and Gynecologic Oncology, Pomeranian Medical University, Szczecin, Poland.

An approach to ovarian endometrial cysts has changed considerably during recent years, especially in regard to treatment of recurrent endometriosis, fertility sparing and infertility management. Surgical treatment is the primary therapeutic option. The most efficient types of treatment are radical procedures involving adhesiolysis, removal of the cyst along with its capsule and any remaining endometriotic foci. Read More

Pediatr Radiol 2019 Jan 17. Epub 2019 Jan 17.

Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Background: Changes that occur in the remaining ovary after contralateral oophorectomy are not well described.

Objective: To determine average ovarian volume in pediatric patients after contralateral oophorectomy compared to age-matched controls with two normal ovaries.

Materials And Methods: We performed a retrospective review of ultrasound examinations and electronic medical records of patients ages 0-18 years who had unilateral oophorectomy from 2000 to 2017 (n=64). Read More

Emerg Radiol 2019 Jan 10. Epub 2019 Jan 10.

Department of Radiology, Henry Ford Hospital, Detroit, MI, USA.

Over the past 40 years since the first in vitro fertilization was performed, both the role of assisted reproductive technology (ART) in establishing viable pregnancy as well as the available treatment options have expanded enormously. Annually in the USA, nearly 2% of pregnancies now employ some form of ART assistance, with in vitro fertilization (IVF) being the most commonly utilized methodology. Both maternal and fetal risks are elevated in ART pregnancies, the latter including adverse outcome due to both increased gestational number as well as advanced maternal age. Read More

J Pak Med Assoc 2019 Jan;69(1):116-119

Department of Obstetrics and Gynecology, Izmir Ataturk Training and Research Hospital, Turkey.

Mature cystic teratoma (MCT) is the most common germ cell ovarian tumour, which accounts for 15-20% of all ovarian neoplasms. The frequency of MCT cases undergoing malignant transformation ranges from 0.17% to 2%. Read More

Radiol Case Rep 2019 Mar 11;14(3):324-327. Epub 2018 Dec 11.

Department of Radiology, Osaka Medical College, Osaka Prefecture, Takatsuki, Japan.

A 33-year-old woman, gravida two para one, at 31 weeks of gestational age experienced sudden onset of left lower quadrant pain and underwent unenhanced pelvic MRI. On fast imaging employing steady state precession (FIESTA) sequence images, a marked difference was observed in the diameters of the right and left ovarian veins. The right ovarian vein was torturous and dilated, measuring 35 mm in diameter, while the left ovarian vein was thin and linear, measuring 7 mm in diameter. Read More

Int J Gynecol Pathol 2018 Dec 19. Epub 2018 Dec 19.

Department of Anatomic Pathology Cleveland Clinic, Cleveland, Ohio.

Taiwan J Obstet Gynecol 2018 Dec;57(6):894-896

Department of Obstetrics and Gynecology, Tri-service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

Objective: Ovarian tumor is a frequently encountered gynecological disease. The tumor is usually anchored by a pedicle. In rare cases, it may detach and derive nourishment from other abdominal structures to which it adheres. Read More

Taiwan J Obstet Gynecol 2018 Dec;57(6):867-870

Department of Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Obstetrics and Gynecology, Hsin-Chu Br, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address:

Objective: Ureterocele in a duplex system is rare and commonly presented with urinary tract infection at neonatal age, infant or childhood. Symptomatic ureterocele in reproductive-age is a diagnostic challenge and should be highly awarded to avoid miss-diagnosis.

Case Report: An adolescent girl with right ectopic ureterocele presented as acute abdomen that mimicked ovarian torsion received emergent laparoscopic surgery. Read More

Taiwan J Obstet Gynecol 2018 Dec;57(6):836-841

Erciyes University Institute of Health Sciences, Department of Hystology and Embryology, Kayseri, Turkey.

Objective: It is aimed to evaluate the protective effect of bilberry on I/R injury in rat ovary.

Materials And Methods: A total 48 female Wistar-Albino rats were utilized to form five groups: Group 1 (control group) (n = 8), neither drug was given and nor procedure was performed. Group 2 (bilberry control group) (n = 10), single dose 200 mg/kg bilberry was administered by gavage and no procedure was performed. Read More

Curr Med Sci 2018 Dec 7;38(6):1032-1037. Epub 2018 Dec 7.

Reproductive Medicine Center, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

The risk factors associated with strangulated ovarian hernia (SOH) in female patients (<1 year old) were identified. A retrospective analysis was conducted regarding the data from 2006 to 2017. The patients were divided into 2 groups: SOH group (n=9) and non-SOH group (n=23). Read More

PeerJ 2018 4;6:e5995. Epub 2018 Dec 4.

Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan, Taiwan.

Background: Adnexal torsion is a gynecologic emergency that requires surgical treatment. In this study, we reviewed the surgical outcomes of women with adnexal torsion in eastern Taiwan (Hualien county, area 4,629 km, 330,000 residents).

Methods: This retrospective study included 42 women diagnosed with surgically-proven adnexal torsion from January 1, 2010, to September 31, 2015. Read More

Endocrinol Diabetes Metab Case Rep 2018 Dec 11;2018. Epub 2018 Dec 11.

Southmead Hospital, North Bristol NHS Trust, Westbury-on-Trym, Bristol, UK.

Pituitary adenomas can be classified as functioning or non-functioning adenomas. Approximately 64% of clinically non-functioning pituitary adenomas are found to be gonadotroph adenomas on immunohistochemistry. There are reported cases of gonadotroph adenomas causing clinical symptoms, but this is unusual. Read More

Eur J Radiol 2018 Dec 27;109:196-202. Epub 2018 Aug 27.

Department of Ultrasound, Beijing Shijitan Hospital, Capital Medical University, Beijing, China. Electronic address:

Objectives: The whirlpool sign (WS) and plasma d-dimer are used as a sonographic marker and laboratory index for adnexal torsion (AT), respectively. The aim of this study was to evaluate whether their combination improved diagnostic efficiency of AT in patients presenting with a benign ovarian mass and abdominal pain and clinically suspected AT.

Materials And Methods: Fifty-four patients with clinically suspected AT with benign ovarian mass and abdominal pain were analyzed and divided into an AT group (n = 28) and control group (n = 26). Read More

Radiologe 2019 Feb;59(2):126-132

Universitätsinstitut für Radiologie, Universitätsklinikum der Paracelsus Medizinischen Privatuniversität, Müllner Hauptstraße 48, 5020, Salzburg, Österreich.

Background: Acute pelvic pain in women may be due to gynecological, gastrointestinal, and urinary tract disorders. Ectopic pregnancy (EP), pelvic inflammatory disease (PID), and ruptured ovarian cysts are the most common gynecological causes for acute pelvic pain and their diagnosis can be challenging.

Methods: Patient history, clinical examination, and blood tests as well as patient age and potential pregnancy status help to establish the correct diagnosis. Read More

Int J Gynecol Pathol 2018 Dec 3. Epub 2018 Dec 3.

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.

Primary extrarenal Wilms tumor of the gynecologic tract is extremely rare with scattered case reports occurring in the ovary, uterine corpus and cervix. Only 9 cases of primary ovarian Wilms tumor have been reported to date. Here, we provide an extensive literature review and describe 2 patients with ovarian Wilms tumor: a 36-yr-old female (patient 1) and a 16-yr-old female (patient 2), both presenting with abdominal pain and suspected ovarian torsion. Read More

Pediatr Med Chir 2018 Dec 4;40(2). Epub 2018 Dec 4.

Pediatric Surgery Unit, Salesi Children Hospital, Ancona.

Isolated tubal torsion (ITT) is a rare cause of acute abdominal pain. Preoperative diagnosis is difficult because of a lack of specific signs. Surgery is recommended to preserve the integrity of the tube. Read More

Ned Tijdschr Geneeskd 2018 11 27;163. Epub 2018 Nov 27.

Rode Kruis Ziekenhuis, afd. Gynaecologie, Beverwijk.

A 23-year-old pregnant woman presented with acute right-sided abdominal pain and vomiting in the 21st week of gestation. An MRI scan showed an ovarian torsion and a dermoid cyst. On the same day, laproscopy was performed. Read More

Reprod Sci 2018 Nov 29:1933719118816839. Epub 2018 Nov 29.

2 Department of Physiology, Istanbul Bilim University School of Medicine, Istanbul, Turkey.

Granulocyte colony-stimulating factor (G-CSF) is a glycoprotein commonly used in the field of medicine to treat neutropenia. Granulocyte colony-stimulating factor has also crucial roles in ameliorating the ischemia/reperfusion (I/R) injury in particular tissues. In this study, we aimed to investigate the protective effect of G-CSF on ovarian damage in experimental ovarian I/R injury. Read More

Best Pract Res Clin Endocrinol Metab 2018 Nov 3. Epub 2018 Nov 3.

Centre for Reproductive Medicine, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels 1090, Belgium; Department of Obstetrics and Gynaecology, School of Medicine, University of Zagreb, Šalata 3, Zagreb 10000, Croatia. Electronic address:

Assisted reproductive technology (ART) has vastly improved over the last 40 years, from a frequently unsuccessful and complicated procedure requiring hospital admission and routine laparoscopy to a fairly simple outpatient technique with relatively high success rates. However, it is important to stress that ART is not without risk and medical complications may still occur. The incidence of most of these ART-related complications is associated with how women undergo ovarian stimulation. Read More

J Obstet Gynaecol Can 2018 Nov;40(11):e747-e787

Calgary, AB.

Objective: To improve the understanding of chronic pelvic pain (CPP) and to provide evidence-based guidelines of value to primary care health professionals, general obstetricians and gynaecologists, and those who specialize in chronic pain.

Burden Of Suffering: CPP is a common, debilitating condition affecting women. It accounts for substantial personal suffering and health care expenditure for interventions, including multiple consultations and medical and surgical therapies. Read More

J Obstet Gynaecol 2018 Nov 8:1-6. Epub 2018 Nov 8.

a Department of Gynaecology , Fernandez Hospital , Hyderabad , India.

This retrospective study aimed to evaluate the sonographic diagnosis and management strategy of symptomatic adnexal torsion at a teaching hospital in Hyderabad, India. All women with abdominal pain and preoperative or operative diagnosis of adnexal torsion from January 2011 to December 2015 were included. A total of 76 women with 78 episodes were included; 28 (36%) occurred during pregnancy. Read More

Case Rep Obstet Gynecol 2018 14;2018:2351809. Epub 2018 Oct 14.

Department of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, Japan.

A 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Read More

J Pediatr Adolesc Gynecol 2018 Oct 24. Epub 2018 Oct 24.

University of Michigan Department of Obstetrics and Gynecology.

Study Objective: To investigate characteristics that differentiate premenarchal girls with ovarian torsion (OT) from those without OT at the time of surgery.

Design: Retrospective chart review of 36 premenarchal girls who underwent 42 surgeries for either OT (n=33) or a non-torsed ovarian mass (n=9) from 2006-2017.

Setting: Large, tertiary care academic institution. Read More

J Obstet Gynaecol Res 2019 Feb 24;45(2):358-367. Epub 2018 Oct 24.

Department of Physiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.

Aim: Ovarian torsion is a rare but an important reason of acute lower abdominal pain in women and associated with serious morbidity and mortality, if not treated promptly. The aim of this study was to evaluate the effects of an antitumor necrosis factor-α antibody on ovarian torsion in a rat model of ischemia-reperfusion (I/R) injury.

Methods: Forty female Wistar Albino rats were used in the present study. Read More

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:106

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

Rev Bras Ginecol Obstet 2018 Nov 11;40(11):726-730. Epub 2018 Oct 11.

Department of Obstetrics and Gynecology, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal.

Recurrent adnexal torsion is a rare gynecological emergency. We report a case of recurrent ipsilateral adnexal torsion in a woman with polycystic ovaries, previously submitted to a laparoscopic plication of the utero-ovarian ligament. Due to the recurrence after the plication of the utero-ovarian ligament, the authors performed a laparoscopic oophoropexy to the round ligament, which is an underreported procedure. Read More

Abdom Radiol (NY) 2018 Oct 1. Epub 2018 Oct 1.

Washington University in St. Louis, St. Louis, MO, USA.

There are numerous common and rare macroscopic fat-containing masses found in the abdomen and pelvis. These include benign masses, such as lipoleiomyoma, ovarian teratoma, mesenteric teratoma, and lipoma, as well as malignant masses, including liposarcoma and malignant transformation of benign entities. Any mass may become symptomatic due to the development of a complication which may range from ovarian torsion to intussusception to hemorrhage. Read More

Gynecol Minim Invasive Ther 2018 Jul-Sep;7(3):136-138. Epub 2018 Aug 23.

Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan.

Hydrosalpinx in reproductive-age women without sexual experience is uncommon and may be asymptomatic. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. This report describes a 21-year-old female without history of sexual intercourse presented with right lower abdominal pain. Read More

Gynecol Minim Invasive Ther 2018 Jan-Mar;7(1):33-35. Epub 2018 Feb 16.

Department of Obstetrics and Gynecology, Kaizuka City Hospital, Osaka, Japan.

It is known that a large ovarian cyst will likely cause torsion. However, normal adnexal torsion is rare and occurs in premenarchal girls in most cases. This is a case of a reproductive woman. Read More

Abdom Radiol (NY) 2018 Sep 22. Epub 2018 Sep 22.

Department of Radiology and Imaging Sciences, University of Utah Health Sciences Center, 30 North 1900 East, #1A071, Salt Lake City, UT, 84132-2140, USA.

Purpose: To distinguish the corpus luteum with adjacent ovarian stromal edema as an entity associated with pelvic pain, with confounding ultrasound features that may lead to false-positive diagnosis of ovarian torsion.

Methods: This is a blinded, retrospective study of 243 corpora lutea on transvaginal ultrasound. Imaging parameters included ovarian and corpus luteum volumes, central cystic space within the corpus luteum, vascularity around the corpus luteum, peripherally displaced follicles, and complex free fluid. Read More

Radiol Case Rep 2018 Dec 13;13(6):1154-1158. Epub 2018 Sep 13.

Department of Radiology, St. Joseph's Healthcare Hamilton, 50 Charlton Ave. E., Rm. T0733, L8N 4A6 ON, Canada.

Patients who get pregnant after being treated with in vitro fertilization (IVF) are at significantly increased risk of ovarian torsion compared to the general population and also in comparison to patients who get pregnant normally [1,2]. The risk is further increased in patients who develop ovarian hyperstimulation syndrome [1]. This possibility should be considered in this group of patients presenting with acute abdominal pain and immediate management should be commenced. Read More

J Obstet Gynaecol 2019 Feb 19;39(2):212-217. Epub 2018 Sep 19.

a Antalya IVF , Antalya , Turkey.

Ovarian torsion (OT) in IVF is rare, however, the consequences are significant, which include ovariotomy. In the present study, it was aimed for the first time to compare the incidence of OT between hCG triggered cycles with ICSI and fresh transfer and GnRH-agonist triggered cycles with the ICSI-freeze-all and frozen embryo transfer (FET). In total, 15,577 ICSI cycles performed between 2001 and 2016 were categorised into two groups (Group 1, n: 9978): cycles with controlled ovarian stimulation (COS) and hCG-triggered (Group 2, n: 5599) and COS, with GnRH-agonist only triggered and freeze-all. Read More

Case Rep Womens Health 2018 Oct 8;20:e00078. Epub 2018 Sep 8.

Department of Obstetrics and Gynecology, Puerta del Sur Hospital, Av Carlos V, 70, Móstoles, Madrid, Spain.

The incidence of systemic infection attributed to group A streptococci (GAS) is increasing, mainly in postpartum women. Such infections require multidisciplinary management and prompt treatment, but an atypical presentation can delay diagnosis. We report the case of a 24-year-old woman admitted to the emergency department for evaluation. Read More

Radiol Bras 2018 Jul-Aug;51(4):274-275

Armed Forces Medical College, Pune, Maharashtra, India.

J Ovarian Res 2018 Sep 10;11(1):79. Epub 2018 Sep 10.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital (PUMCH), Peking Union Medical College, Chinese Academy of Medical Science, Beijing, 100730, People's Republic of China.

Background: Ovary enlargement is common in controlled ovarian stimulation, which could continue several months during a successful pregnancy. However, persistent megalocystic ovaries 3 years after ovarian hyperstimulation syndrome (OHSS) were rare. Here we will present you the case and treatment as well as discuss the probable etiology. Read More

J Cancer Res Ther 2018 Jul-Sep;14(5):1154-1156

Department of Pathology, Guru Gobind Singh Medical College and Hospital, Baba Farid University of Health Sciences, Faridkot, Punjab, India.

Mature cystic teratoma is the most common type of ovarian germ cell tumor. The presentation ranges from its asymptomatic nature to various complications such as torsion, rupture, and malignant change. The present case summarizes the rarest complication in the form of superinfection in a young girl without preexisting risk factors. Read More

BMJ Case Rep 2018 Aug 20;2018. Epub 2018 Aug 20.

Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.

In this report, we describe an 18-year-old nulliparous virgo, with no medical history, who presented herself at the emergency department with symptoms of lower abdominal pain and nausea with vomiting. On examination, an echogenic unilocular cyst with possible relation to the right ovary was found. The working diagnosis was an ovarian torsion. Read More

J Laparoendosc Adv Surg Tech A 2018 Aug 17. Epub 2018 Aug 17.

Department of Obstetric and Gynecology, Meram Medicine Faculty, Necmettin Erbakan University , Konya, Turkey .

Purpose: Adnexal torsion constitutes 2.7% of gynecological emergencies, it is more frequently seen in reproductive age. Delay in diagnosis and treatment may lead to loss of the ovary. Read More

Rev Med Liege 2018 Jul;73(7-8):413-418

Service de Gynécologie-Obstétrique, CHR Citadelle, Université de Liège, Belgique.

Mature ovarian teratoma is the most frequent benign tumor in premenopausal women. It is usually asymptomatic but complications are possible such as adnexal torsion, infection, malignant transformation or cystic rupture. The latter can be spontaneous or more often occurs during surgery of excision of dermoid cyst. Read More

Bull Emerg Trauma 2018 Jul;6(3):207-216

Department of Clinical Sciences, Faculty of Veterinary Medicine, Urmia Branch, Islamic Azad University, Urmia, Iran.

Objective: To investigate effects of intraperitoneally administration of α-tocopherol loaded nanoparticles (TNP) on ischemia-reperfusion injury in ovaries.

Methods: Thirty-five healthy female Wistar rats ~250g were randomized into seven experimental groups (n = 5): Group SHAM: The rats underwent only laparotomy. Group Ischemia: A 3- hour ischemia only. Read More

Adv Clin Exp Med 2018 08 7. Epub 2018 Aug 7.

Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China

Background: Pregnancy with an adnexal mass is one of the most common complications during pregnancy and clinicians are sometimes caught in a dilemma concerning the decision to be made regarding clinical management.

Objectives: The objective of this study was to outline and discuss the clinical features, management and outcomes of adnexal masses that were encountered during a cesarean section (CS) at a university affiliated hospital in China.

Material And Methods: The medical records of the patients with an adnexal mass observed during a CS were retrospectively collected at Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China, from January 1991 to December 2011. Read More

Gynecol Obstet Invest 2019 2;84(1):45-49. Epub 2018 Aug 2.

Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.

Study Objective: The study aimed to evaluate whether there is an association between the ovarian ligament length and ovarian torsion.

Design: This is a prospective cohort study. Design Classification: II. Read More

Case Rep Obstet Gynecol 2018 4;2018:6267207. Epub 2018 Jul 4.

Department of Obstetrics and Gynecology, Clínica Santa María, Santiago, Chile.

Ovarian torsion after hysterectomy is a rare event. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). Read More

Acad Emerg Med 2019 Feb 24;26(2):152-159. Epub 2018 Sep 24.

Department of Emergency Medicine, University of Massachusetts Medical Center-Baystate, Springfield, MA.

Background: Color and power Doppler ultrasound are commonly used in the evaluation of ovarian torsion but are unreliable. Because normal-sized ovaries are unlikely to cause torsion, maximum ovarian diameter (MOD) could theoretically be used as a screening test in the ED. Identification of MOD values below which torsion is unlikely would be of benefit to providers interpreting radiology department or point-of-care pelvic ultrasound. Read More

J Obstet Gynaecol Res 2018 Nov 18;44(11):2110-2114. Epub 2018 Jul 18.

Department of Obstetrics and Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.

Adnexal torsion is one of the most common gynecologic surgical emergencies. All age groups can be affected, but torsion of normal-sized ovary that happens during late pregnancy is rare and challenging to be diagnosed. The objective of this article is to present a case of adnexal torsion in a normal-sized ovary suspected by magnetic resonance imaging (MRI) in the third trimester of pregnancy. Read More

Obstet Gynecol Sci 2018 Jul 4;61(4):529-532. Epub 2018 Jul 4.

Department of Pathology, Child Hospital, Mohammed V University, Rabat, Morocco.

Dermoid cysts or mature cystic teratoma are the most common type of ovarian germ cell tumor. It may be complicated by torsion, rupture, chemical peritonitis and malignant change but is rarely complicated by infection. We present a case of an ovarian dermoid cyst with super-infection caused by (). Read More

J Pediatr Adolesc Gynecol 2019 Feb 12;32(1):64-69. Epub 2018 Nov 12.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

Study Objective: Adnexal torsion (AT) requires urgent surgical intervention to preserve ovarian function. Historically, treatment for AT was oophorectomy because of concerns related to leaving a nonviable ischemic ovary. No published studies support these theoretical concerns and current literature supports conservative management. Read More

PLoS One 2018 11;13(7):e0200190. Epub 2018 Jul 11.

Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

Objective: The purpose of our study was to assess computed tomographic (CT) findings of adnexal torsion through a matched case-control analysis.

Materials And Methods: This retrospective, single-institution case-control study included 43 women with adnexal torsion and 43 age- and ovarian mass-matched control women. CT images were evaluated independently by two readers for the following: prominent peripheral follicles, uterine deviation, thickened pedicles, a whirl sign, and a navel sign. Read More