Volume 7, Issue 2 (4-2022)
CJHR 2022, 7(2): 91-96 |
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Mansour Ghanaei M, Asgari Ghalebin S M, Olangian-Tehrani S, Bab Eghbal S, Attari S M, Keivan Khosro H et al . A Case-Series on Clinical and Surgical Findings of Ovarian Torsion. CJHR 2022; 7 (2) :91-96
URL: http://cjhr.gums.ac.ir/article-1-252-en.html
URL: http://cjhr.gums.ac.ir/article-1-252-en.html
Mandana Mansour Ghanaei1 
, Seyed Mohammad Asgari Ghalebin2 , Sepehr Olangian-Tehrani3 , Sedighe Bab Eghbal1 , Seyedeh Maryam Attari1 , Hajar Keivan Khosro4 , Katayoun Haryalchi * 5
, Seyed Mohammad Asgari Ghalebin2 , Sepehr Olangian-Tehrani3 , Sedighe Bab Eghbal1 , Seyedeh Maryam Attari1 , Hajar Keivan Khosro4 , Katayoun Haryalchi * 5
1- Reproductive Health Research Center, Department of Obstetrics and Gynecology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
2- School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
3- School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
4- Reproductive Health Research Center, Department of Obstetrics & Gynecology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
5- Reproductive Health Research Center, Department of Anesthesiology, Alzahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. , k_haryalchi@yahoo.com
2- School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
3- School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
4- Reproductive Health Research Center, Department of Obstetrics & Gynecology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
5- Reproductive Health Research Center, Department of Anesthesiology, Alzahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. , k_haryalchi@yahoo.com
Abstract: (867 Views)
Background: Ovarian torsion (OT) is a common gynecological emergency. Clinical presentation is nonspecific, and diagnosis is based on a high index of suspicion. Current recommendations strongly are based on ovarian support.
Objectives: To assess clinical findings and therapeutic approach of patients diagnosed with OT.
Materials and Methods: In this retrospective study 104 patients with confirmed OT in surgery were investigated. Clinical symptoms, laboratory indices, ultrasonography finding, and therapeutic approach were collected from hospital records of patients from 2001 to 2021.
Results: The mean age of patients was 34.7±14.1 years old. The mean duration from hospitalization to surgery was 6.4±3 hours. The most common symptom in patients was abdominal pain (100%) followed by nausea and vomiting (76.9%). Ovarian cyst (71.2%) was the most gynecologic etiology of OT. Local tenderness (92.3%) and rebound tenderness (46.2%) were the most prevalent sign in physical examination. Necrotic ovary was found in 60 patents (57.7%) at surgery. Detorsion was possible in only 26 patients (25%).
Conclusion: This study revealed that most objective findings in patients were nondifferential. The majority of patients with OT were in the reproductive ages, but just one fourth of them treated with conservative management.
Objectives: To assess clinical findings and therapeutic approach of patients diagnosed with OT.
Materials and Methods: In this retrospective study 104 patients with confirmed OT in surgery were investigated. Clinical symptoms, laboratory indices, ultrasonography finding, and therapeutic approach were collected from hospital records of patients from 2001 to 2021.
Results: The mean age of patients was 34.7±14.1 years old. The mean duration from hospitalization to surgery was 6.4±3 hours. The most common symptom in patients was abdominal pain (100%) followed by nausea and vomiting (76.9%). Ovarian cyst (71.2%) was the most gynecologic etiology of OT. Local tenderness (92.3%) and rebound tenderness (46.2%) were the most prevalent sign in physical examination. Necrotic ovary was found in 60 patents (57.7%) at surgery. Detorsion was possible in only 26 patients (25%).
Conclusion: This study revealed that most objective findings in patients were nondifferential. The majority of patients with OT were in the reproductive ages, but just one fourth of them treated with conservative management.
Article Type: Original Contributions |
Subject:
Public Health
Received: 2021/11/15 | Accepted: 2022/02/12 | Published: 2022/04/1
Received: 2021/11/15 | Accepted: 2022/02/12 | Published: 2022/04/1
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