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Clinicopathologic changes resulting from adnexal torsion.

R J Stock

    The Journal of Reproductive Medicine
    |March 1, 1987
    PubMed
    Summary
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    Adnexal torsion is a gynecologic emergency. This review of ten cases highlights the varied clinical and pathologic presentations, including early changes and fibrosis from intermittent torsion.

    Area of Science:

    • Gynecologic pathology
    • Surgical emergencies

    Background:

    • Adnexal torsion is a critical condition requiring prompt diagnosis and management.
    • Understanding the full spectrum of its presentation is essential for effective treatment.

    Purpose of the Study:

    • To analyze ten cases of adnexal torsion.
    • To review the clinical and pathologic spectrum of adnexal torsion.
    • To identify early diagnostic changes and long-term sequelae.

    Main Methods:

    • Retrospective case series analysis.
    • Review of clinical records and pathologic findings.
    • Histopathologic examination of ten adnexal torsion cases.

    Main Results:

    • Ten cases of adnexal torsion were analyzed.

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  • Two cases demonstrated the earliest pathological changes associated with torsion.
  • One case showed ovarian fibrosis secondary to prolonged stromal edema from intermittent torsion.

    • Conclusions:

    • Adnexal torsion presents with a wide range of clinical and pathologic findings.
    • Early recognition of subtle changes is crucial for timely intervention.
    • Prolonged or intermittent torsion can lead to significant long-term ovarian damage, such as fibrosis.