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acute torsion of the adnexal structures

Friday 24 February 2012

Acute torsion of the ovary

Synopsis

- Acute torsion of the adnexal structures is an uncommon event but is a surgical emergency.
- The severity of the symptoms varies widely and includes fever, nausea or vomiting, and abdominal pain.
- The correct diagnosis is rarely made preoperatively.
- The preoperative radiograph commonly shows a pelvic mass with a cystic or solid texture, often with thin internal septae, and may simu-late an ovarian mass.
- Because the sigmoid colon cushions and secures the left adnexa, the right adnexa is more often affected than the left.
- The Fallopian tube and ovary have usually undergone hemorrhagic necrosis by the time of the surgery, often with secondary calciļ¬cation.
- As a result, the cause of the torsion is not clear in most cases.

See also

- ovarian lesions