TY  - JOUR
T1  - Clinical and Pathologic Evaluation of Adnexal Torsion Patients in Adolescence, Reproductive and Postmenopausal Periods
AU  - Çoşkun, Bora
AU  - Timur, Burcu
AU  - Çoşkun, Buğra
AU  - Kıncı, Ferdi
AU  - Şimşir, Coşkun
PY  - 2019
DA  - August
DO  - 10.19127/mbsjohs.559446
JF  - Middle Black Sea Journal of Health Science
JO  - Middle Black Sea Journal of Health Science
PB  - Ordu University
WT  - DergiPark
SN  - 2149-7796
SP  - 85
EP  - 92
VL  - 5
IS  - 2
LA  - en
AB  - Objective: The objective of our study was to compare the adnexaltorsion patients in different age groups clinically and pathologically.Methods: Sixty-eight patients who had applied with pelvic painand adnexal torsion diagnosis had been confirmed intraoperatively were includedin the study. Patients were divided into three groups based on their ages asthe adolescent period (Group 1), reproductive period (Group 2) and postmenopausalperiod (Group 3). Ages, history of torsion, history of past operations, periodsbetween the date of hospitalization and operation, periods of hospital stay,adnexa as the localization of torsion and number of tours of torsion wereexamined in groups. Mass lesions found during the operation and pathologicconsequences of such masses were examined retrospectively and compared.Results: No statistically significant differences in torsionhistory, past operations, WBC and platelet values, neutrophil/lymphocyteratios, preoperative fever, preoperative nausea and vomiting and preoperativeDoppler US findings between the groups included in the studies (p>0,05).Although not statistically significant, WBC values were higher in thepostmenopausal patient group, and it was notable that symptoms including fever,nausea and vomiting were absent in this group. The adolescent age group was thegroup with the least confirmation of torsion diagnosis following the operationwith 13 (52%) patients. Upon evaluation of the operations carried out onpatients, it was seen that mostly fertility preserving approaches were preferredfor adolescent and reproductive patients with 88%, while more radical methodssuch as USO (72.7%) and TAH+BSO (18.2%) were preferred in postmenopausalpatients. Ovarian tissue with torsion without any pathologic findings is morefrequent in the adolescent period as compared to other groups (48%). In thepostmenopausal period however, some pathology was found in the entire portionof the adnexa with torsion. In the postoperative evaluation of the pathologyresults of patients, no significant differences were observed as regards thediameters of cysts (p:0,207). There are significant differences between thehistopathological types. Conclusion: Although statistically significant differences have notbeen observed as regards the clinic al presentation and laboratory findingsbased on age groups; it must be kept in mind that a mass lesion can accompanythe torsion and the pathology of this mass can vary. Torsion must be rememberedin pelvic pain in the adolescent age group because of the indistinct clinicalfindings and inadequacy of imaging methods.
KW  - Adnexal Torsion
KW  - Pelvic Pain
KW  - Gyneacologic Emergency
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UR  - https://doi.org/10.19127/mbsjohs.559446
L1  - https://dergipark.org.tr/en/download/article-file/795600
ER  -