Abstract:
OBJECTIVE:The purpose of this study was to compare clinical manifestations, treatment, and pregnancy outcome of adnexal torsion in pregnant and nonpregnant women. STUDY DESIGN:We conducted a retrospective case-control study in the Departments of Gynecology at 2 tertiary centers between 1999-2008. Forty-one pregnant and 77 nonpregnant women with surgically proved adnexal torsion were assessed. RESULTS:Recurrence rate of torsion was 19.5% in pregnant women and 9.1% in control subjects; 73% of pregnant women conceived through assisted reproductive technologies. Doppler blood flow was falsely normal in 61% of pregnant women and in 45% of nonpregnant women; 83.3% of pregnant women delivered at term. Laparoscopic detorsion was the main surgical procedure. CONCLUSION:Presentation of adnexal torsion is similar in pregnant and nonpregnant women. Past assisted reproductive technology is an important risk factor in pregnancy. Doppler blood flow has a high false-negative rate and should not outweigh clinical suspicion. Although pregnancy outcome is favorable, the high rate of recurrence raises the issue of surgical fixation at the first episode.
journal_name
Am J Obstet Gynecoljournal_title
American journal of obstetrics and gynecologyauthors
Hasson J,Tsafrir Z,Azem F,Bar-On S,Almog B,Mashiach R,Seidman D,Lessing JB,Grisaru Ddoi
10.1016/j.ajog.2009.11.028subject
Has Abstractpub_date
2010-06-01 00:00:00pages
536.e1-6issue
6eissn
0002-9378issn
1097-6868pii
S0002-9378(09)02202-9journal_volume
202pub_type
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journal_title:American journal of obstetrics and gynecology
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更新日期:2002-01-01 00:00:00
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