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CT predictors for selecting conservative surgery or adnexectomy to treat adnexal torsion
Sung Il Jung1, Hee Sun Park1, Hae Jeong Jeon1
1Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, Research Institute of Medical Science, Seoul, Korea.
Purpose:
To identify computed tomography (CT) findings for selection between conservative surgery and adnexectomy in patients of reproductive age with adnexal torsion.
Methods:
This retrospective study included 54 consecutive patients who underwent preoperative CT imaging before undergoing either conservative surgery or adnexectomy to treat adnexal torsion.
Results:
By multivariate analysis, CT finding of tubal thickening was significantly associated with the patients treated with adnexectomy (odds ratio=7.6, P=.008).
Conclusion:
Although the majority of patients of reproductive age with adnexal torsion can be treated with conservative surgery, patients who require adnexectomy tend to have a tubal thickening on CT.
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