Demographic, Clinical Symptoms, Imaging and Pathology Characteristics of Patients with Adnexal Torsion: A Ten-Year Study

Background & Objective: Adnexal torsion is a complete or incomplete twisting of the ovary, fallopian tubes, or ovarian cyst around its vascular axis, which can cause blood flow disruption. This disorder is rare but serious and accounts for about ۳% of women's emergency surgeries. Early diagnosis of this disease and the necessary surgeries are very important to preserve fertility. The purpose of this study is to investigate the epidemiology, clinical symptoms, imaging and pathology of patients with torsion of the adnexa referred to the emergency rooms of Mahdiyeh and Shohadaye Tajrish hospitals.Materials & Methods: This study is a retrospective cross-sectional study. In the present study, ۱۹۰ patients with torsion of the adnexa were examined in the period ۲۰۱۱–۲۰۲۱, in Mahdiyeh and Shohadaye Tajrish hospitals. Demographic, clinical and surgical information about patients was extracted from medical records. Data analysis was done using SPSS version ۲۲ statistical software.Results: The average age of ۱۹۰ patients was ۲۹.۲. Most of the ovarian torsion patients had a history of more than one previous delivery (۵۷.۹%) and also, an ovarian mass was observed in ۱۵۷ patients, and the ovarian mass of ۱۴۶ patients was larger than ۵ cm. The rate of ovarian preservation in this study was ۶۱%. Hemorrhagic cysts were the most common type of cyst in patients and were reported in ۳۷ patients.Conclusion: It is necessary to identify effective diagnostic methods. Therefore, it may be useful to investigate more serum biomarkers for early detection of adnexal torsion and to reduce diagnostic errors.