medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2013, Number 05

<< Back Next >>

Ginecol Obstet Mex 2013; 81 (05)

Adnexal torsion: three cases

Mateo SHA, Taboada-Pérez GC, Hernández-Arroyo L, Mateo-Madrigal M, Mateo-Madrigal V

Language: Spanish
References: 7
Page: 272-278
PDF size: 461.47 Kb.


ABSTRACT

Adnexal torsion is a gynecological emergency caused by the torsion of the ovary over its pedicle producing lymphatic and venous stasis, later it develops into ischemia and necrosis, when is not treated. Until recently, the treatment for adnexal torsion has been adnexectomy. This paper report three cases treated successfully with conservative treatment. It is essential to establish a protocol for adnexal torsion management where radical treatments are abandoned and conservative surgeries, such as detorsion and plication, are performed. We suggest as a first choice management adnexal detorsion, in case malignity is suspected to have intraoperative pathologic analysis, and based on the results to decide to preserve the adnexal or remove it for definitive cure.


REFERENCES

  1. Marchant GR, Pedraza SD, Astudillo DJ. Utilidad de la ultrasonografía en el diagnóstico de la torsión anexial (TA): Revisión. Rev Chil Ultrasonog 2011;14:14-17.

  2. Zamboni M, Palominos G, Núñez F, Durruty G y col. Manejo conservador de la torsión anexial: ¿una alternativa o una obligación frente a un posible error de apreciación por parte del cirujano? Rev Chil Obstet Ginecol 2011;76:248-256.

  3. Molina Campos R. Abordaje terapéutico de torsión anexial: manejo conservador vs. radical (revisión b bliográfica). Revista Médica de Costa Rica y Centroamérica 2007;LXIV:207-210.

  4. Armijo Suárez O, Lobo Martínez S, Castro Martín B, Blasco Gastón L y col. Torsión ovárica. Manejo clínico de 47 casos en el Hospital Universitario La Paz entre los años 1999-2009. Revista Iberoamericana de Fertilidad y Reproducción Humana 2011;28.

  5. Oelsner G, Cohen SB, Soriano D, Admon D, et al. Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function. Hum Reprod 2003;18:2599-2602.

  6. Lee EJ, Kwon HC, Joo HJ, Suh JH, Fleischer AC. Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. J Ultrasound Med 1998;17:83-89.

  7. Graif M, ltzchak Y. Sonographic evaluation of ovarian torsion in childhood and adolescence. Am J Roentgenol 1988;150:647-649.




2020     |     www.medigraphic.com