Retrospective analysis of 14 patients who managed for adnexal torsion during pregnancy

Mesut Polat; Taylan Şenol; Adnan İncebıyık; Enis Özkaya; İlhan Şanverdi; Evrim Bostancı; Egemen Aydın; Ateş Karateke

doi:10.5798/diclemedj.0921.2015.04.0614

Retrospective analysis of 14 patients who managed for adnexal torsion during pregnancy

Abstract

Objective: To assess some clinical characteristics of patients who were treated for adnexal torsion during pregnancy.

Methods: Medical records of 14 pregnant women with adnexal torsion who were surgically treated at our hospital between 1^st January 2011 to 30^th October 2015 were screened. In addition to the demographic features obtained from medical records, presenting complaints, physical examination and ultrasonographic findings, type of surgery, histopathologic findings, route of deliveries and complications were all recorded.

Results: Mean age of patients included in the study was 27.8 ± 3.9 years, mean gravidity was 2.8 ± 1.8 and mean gestational age was 14.4 weeks. Most commonly seen complaint was pelvic pain followed by emesis and vomiting. All participants underwent abdominal surgery showing an adnexal mass with a mean volume of 48.4 ± 12.1 cm2. Also all participants underwent Doppler ultrasound assessment showing decreased ovarian blood flow. Among 14 patients, 3 of them were managed by laparoscopy while remaining was treated by laparotomy. Detorsion and cystectomy were performed in 10 patients while detorsion was performed in 3 patients, in 1 patient after detorsion no blood flow was observed therefore salpingo-oophorectomy was performed due to overt necrotic appearance. Most commonly seen histopathologic type was mature cystic teratoma. No operative complication was observed.

Conclusion: Adnexal torsion should be kept in mind in pregnant presenting with acute abdominal pain. Early diagnosis and treatment are important for organ preserving surgery.

Key words: Pregnancy, adnexal torsion, ultrasonography

Keywords

Gebelik, adneksiyal torsiyon, ultrasonografi

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Mesut Polat This is me

Taylan Şenol This is me

Adnan İncebıyık

Enis Özkaya This is me

İlhan Şanverdi This is me

Evrim Bostancı This is me

Egemen Aydın This is me

Ateş Karateke This is me

Publication Date

January 8, 2016

Submission Date

January 8, 2016

Acceptance Date

-

Published in Issue

Year 2015 Volume: 42 Number: 4

DOI

https://doi.org/10.5798/diclemedj.0921.2015.04.0614

IZ

https://izlik.org/JA26YS44BR

Cite

RIS / Bibtex

APA

Polat, M., Şenol, T., İncebıyık, A., Özkaya, E., Şanverdi, İ., Bostancı, E., Aydın, E., & Karateke, A. (2016). Retrospective analysis of 14 patients who managed for adnexal torsion during pregnancy. Dicle Medical Journal, 42(4), 490-494. https://doi.org/10.5798/diclemedj.0921.2015.04.0614

AMA

1.Polat M, Şenol T, İncebıyık A, et al. Retrospective analysis of 14 patients who managed for adnexal torsion during pregnancy. Dicle Medical Journal. 2016;42(4):490-494. doi:10.5798/diclemedj.0921.2015.04.0614

Chicago

Polat, Mesut, Taylan Şenol, Adnan İncebıyık, et al. 2016. “Retrospective Analysis of 14 Patients Who Managed for Adnexal Torsion During Pregnancy”. Dicle Medical Journal 42 (4): 490-94. https://doi.org/10.5798/diclemedj.0921.2015.04.0614.

EndNote

Polat M, Şenol T, İncebıyık A, Özkaya E, Şanverdi İ, Bostancı E, Aydın E, Karateke A (January 1, 2016) Retrospective analysis of 14 patients who managed for adnexal torsion during pregnancy. Dicle Medical Journal 42 4 490–494.

IEEE

[1]M. Polat et al., “Retrospective analysis of 14 patients who managed for adnexal torsion during pregnancy”, Dicle Medical Journal, vol. 42, no. 4, pp. 490–494, Jan. 2016, doi: 10.5798/diclemedj.0921.2015.04.0614.

ISNAD

Polat, Mesut - Şenol, Taylan - İncebıyık, Adnan - Özkaya, Enis - Şanverdi, İlhan - Bostancı, Evrim - Aydın, Egemen - Karateke, Ateş. “Retrospective Analysis of 14 Patients Who Managed for Adnexal Torsion During Pregnancy”. Dicle Medical Journal 42/4 (January 1, 2016): 490-494. https://doi.org/10.5798/diclemedj.0921.2015.04.0614.

JAMA

1.Polat M, Şenol T, İncebıyık A, Özkaya E, Şanverdi İ, Bostancı E, Aydın E, Karateke A. Retrospective analysis of 14 patients who managed for adnexal torsion during pregnancy. Dicle Medical Journal. 2016;42:490–494.

MLA

Polat, Mesut, et al. “Retrospective Analysis of 14 Patients Who Managed for Adnexal Torsion During Pregnancy”. Dicle Medical Journal, vol. 42, no. 4, Jan. 2016, pp. 490-4, doi:10.5798/diclemedj.0921.2015.04.0614.

Vancouver

1.Mesut Polat, Taylan Şenol, Adnan İncebıyık, Enis Özkaya, İlhan Şanverdi, Evrim Bostancı, Egemen Aydın, Ateş Karateke. Retrospective analysis of 14 patients who managed for adnexal torsion during pregnancy. Dicle Medical Journal. 2016 Jan. 1;42(4):490-4. doi:10.5798/diclemedj.0921.2015.04.0614

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