The twisted adnexa: a clinical pathological review

Area of Science:

• Gynecology
• Surgical Pathology

Background:

• Adnexal torsion, a gynecologic emergency, involves the twisting of uterine adnexa.
• Prompt diagnosis and management are crucial to preserve ovarian function.

Purpose of the Study:

• To review fifteen cases of twisted uterine adnexa.
• To highlight the utility of laparoscopy in early diagnosis.
• To present the clinical and histologic features of associated conditions.

Main Methods:

• Retrospective review of fifteen cases diagnosed with twisted uterine adnexa.
• Analysis of clinical presentations and patient histories.
• Histologic examination of surgical specimens.
• Intraoperative findings from laparoscopy.

Main Results:

• Laparoscopy proved effective in establishing an early diagnosis in the reviewed cases.
• Clinical presentations varied, necessitating a broad differential diagnosis.
• Histologic findings correlated with specific adnexal pathologies.

Conclusions:

• Laparoscopy is a valuable tool for the rapid diagnosis of adnexal torsion.
• Understanding the clinical and histologic spectrum is essential for effective management.
• Timely surgical intervention is key to preventing adnexal damage.