Evidence map›Paper›PMID 41573064›Full record

ArticleNorthern clinics of Istanbul2025

Management of adnexal torsion: A 5-year experience from a tertiary center.

Mehmet Guclu, Esra Keles, Ismail Baglar, Aslihan Ozturk, Emre Mat

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Article in Northern clinics of Istanbul, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mehmet GucluDepartment of Obstetric and Gynecology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkiye.
Esra KelesDepartment of Gynecologic Oncology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkiye.
Ismail BaglarDepartment of Obstetric and Gynecology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkiye.
Aslihan OzturkDepartment of Obstetric and Gynecology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkiye.
Emre MatDepartment of Gynecologic Oncology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to examine the clinical characteristics, surgical findings, histopathological results, laboratory parameters of histopathologically confirmed ovarian torsion cases.

methodsThis was a retrospective study that analyzed 96 surgically proven cases of ovarian torsion treated at a tertiary care referral hospital between 2018 and 2024. The study reviewed demographic characteristics, clinical features, surgical details, laboratory findings, and histopathological results of patients through the hospital's electronic medical records. In addition, a comparative analysis was conducted to evaluate differences between patients undergoing laparoscopic and laparotomy surgical approaches.

resultsNinety-six surgically confirmed ovarian torsions with a median age 27 years were included. The main presenting symptoms were pelvic pain (93.8%) and abdominal pain (40.6%). Laparoscopy was performed in 61 (63.5%) patients, while laparotomy was performed in 35 (36.5%) patients. Surgical approaches included salpingo-oophorectomy with cystectomy (12.1%), salpingo-oophorectomy alone (40.6%), adnexectomy (41.7%), and hysterectomy with bilateral salpingo-oophorectomy (5.2%). Ovarian size ranged from 2-30 cm (mean 7.0 cm) with right-sided involvement in 60.4%. Hemorrhagic infarction was the most common histopathologic finding, followed by simple cysts, with only one case of borderline serous cystadenoma.

conclusionAdnexal torsion is a rare emergency requiring a high index of clinical suspicion due to nonspecific symptoms. Surgical intervention is the definitive approach, with laparoscopy preferred for faster recovery and superior outcomes.

Indexed as

laparoscopic surgeryovarian torsionOvary

Identifiers

PMID41573064
PMCPMC12821109

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