Abstract
This review of the literature focuses on the diagnosis and surgical management of
adnexal torsion. Diagnosis of adnexal torsion is difficult and is based on a range
of elements obtained by questioning, clinical examination and additional investigations.
Pelvic and Doppler ultrasonography are often incapable of revealing this pathology.
When adnexal torsion is suspected and diagnosis can only be achieved by surgery, arrangements
should be made for laparoscopy as soon as possible. Treatment consists essentially
of untwisting the adnexa, even when necrosed, and completed as required by treatment
of any cyst present and/or ligamentopexy.
Keywords
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Article info
Publication history
Published online: February 17, 2010
Accepted:
February 2,
2010
Received in revised form:
December 16,
2009
Received:
October 29,
2009
Identification
Copyright
© 2010 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
