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Adnexal torsion. A clinicopathologic review of 31 cases
1Department of Obstetrics and Gynecology, Tulane Medical Center, New Orleans, Louisiana, USA.
Objective:
To evaluate the correlation between clinical parameters, intraoperative assessment of tissue viability and histopathology in adnexal torsion.
Study Design:
A retrospective study of 31 patients undergoing surgical intervention for adnexal torsion was performed, and clinical and pathologic parameters were compared.
Results:
Intraoperative evaluation of viability was confirmed in 10/12 cases. Impression of necrosis was confirmed in 18/19 cases. Fever was seen in 2/12 patients with viable adnexa and in 7/19 patients with necrosis.
Conclusion:
Intraoperative impression of tissue viability correlated well with histopathology. Fever was significantly associated with tissue necrosis.