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ovarian torsion

Maryam Zangene, Atefeh Ashoori Barmchi, Mansour Rezaei, Firoozeh Veisi
The aim of this study was to investigate the role of serum Interleukin-6 (IL-6) as a predictive value to make decision for surgical interventions when ovarian torsion (OT) is suspected. This study was performed on 284 women with lower abdominal pain. IL-6 levels were compared between OT (n = 67, 23.6%) and control groups (n = 217, 76.4%). For the purpose of diagnosis of OT, sensitivity and specificity of IL-6 at the cut-off point of 9.6 pg/ml were 41.79 and 82.49%, respectively. Patients with ovarian masses on ultrasound and IL-6 >9...
October 18, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Aviad Cohen, Neta Solomon, Benny Almog, Yoni Cohen, Ziv Tsafrir, Eli Rimon, Ishai Levin
OBJECTIVE: To investigate the clinical presentation, operative outcome and incidence of malignancy in post-menopausal women who were diagnosed with adnexal torsion. DESIGN: Retrospective cohort study DESIGN: classification: Canadian Task Force classification II-2. SETTING: Tertiary university-affiliated hospital. PATIENTS: Cases of postmenopausal women who were diagnosed with adnexal torsion between the years 1995-2014 were reviewed (study group)...
October 1, 2016: Journal of Minimally Invasive Gynecology
A A Rouzi, A Mousa, N Sahly, T Alzahrani
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
M Kim, C Lee, J Ko, H Choi, Y Cho, K Chun
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Aiko Gobara, Takeshi Yoshizako, Rika Yoshida, Naruhito Okada, Ken Makihara, Hajime Kitagaki
INTRODUCTION: Massive ovarian edema (MOE) is a rare disease and few reports have described the magnetic resonance (MR) imaging manifestations in pregnancy. CASE DESCRIPTION: We report here a case of MOE in a patient at 12 weeks' gestation. Abdominal T2-weighted MR images showed asymmetric ovarian enlargement in a teardrop configuration, hyperintense peripherally displaced follicles, and twisting of the vascular pedicle between the enlarged ovary and uterus. The diagnosis of MOE due to ovarian torsion was confirmed by exploratory laparotomy...
2016: SpringerPlus
A Kennedy
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
Margarita V Revzin, Mahan Mathur, Haatal B Dave, Matthew L Macer, Michael Spektor
Pelvic inflammatory disease (PID) is a common medical problem, with almost 1 million cases diagnosed annually. Historically, PID has been a clinical diagnosis supplemented with the findings from ultrasonography (US) or magnetic resonance (MR) imaging. However, the diagnosis of PID can be challenging because the clinical manifestations may mimic those of other pelvic and abdominal processes. Given the nonspecific clinical manifestations, computed tomography (CT) is commonly the first imaging examination performed...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Jong-Hyun Kim
The term collision tumor refers to the coexistence of two adjacent but histological distinct tumors with no histological admixture at the interface. Collision tumors involving ovaries are extremely rare. A collision tumor composed of a dermoid cyst and fibrothecoma is extremely rare in menopausal women. The mechanism of the development of collision tumor is uncertain. During clinical evaluation, differentiation of characters of these ovarian tumors is important to decide appropriate treatment strategies and for good prognosis...
August 2016: Journal of Menopausal Medicine
Ahmet Ali Tuncer, Mehmet Fatih Bozkurt, Tulay Koken, Nurhan Dogan, Mine Kanat Pektaş, Didem Baskin Embleton
Objective. This study aims to evaluate whether alpha-lipoic acid and/or coenzyme Q10 can protect the prepubertal ovarian tissue from ischemia-reperfusion injury in an experimental rat model of ovarian torsion. Materials and Methods. Forty-two female preadolescent Wistar-Albino rats were divided into 6 equal groups randomly. The sham group had laparotomy without torsion; the other groups had torsion/detorsion procedure. After undergoing torsion, group 2 received saline, group 3 received olive oil, group 4 received alpha-lipoic acid, group 5 received coenzyme Q10, and group 6 received both alpha-lipoic acid and coenzyme Q10 orally...
2016: Advances in Medicine
Andrew L Callen, Tushani Illangasekare, Liina Poder
Massive ovarian edema is a benign clinical entity, the imaging findings of which can mimic an adnexal mass or ovarian torsion. In the setting of acute abdominal pain, identifying massive ovarian edema is a key in avoiding potential fertility-threatening surgery in young women. In addition, it is important to consider other contributing pathology when ovarian edema is secondary to another process. We present a case of a young woman presenting with subacute abdominal pain, whose initial workup revealed marked enlarged right ovary...
September 1, 2016: Emergency Radiology
Megan H Lee, Nicholas Meyers, Constantine A Raptis, Vincent M Mellnick
Pelvic pain is a common presenting symptom in the emergency room, and prompt diagnosis of adnexal torsion is essential to reduce the risk of irreversible ovarian ischemia. Although ultrasound has been the study of choice for the diagnosis of adnexal torsion, patients with pelvic pain may often be imaged first with computed tomography given the prevalent use of computed tomography in the emergency department. Therefore, it is essential to be familiar with the computed tomography signs of adnexal torsion. A retrospective study of 40 patients with adnexal torsion with and without an adnexal mass was conducted to evaluate interobserver reliability for the computed tomography signs of adnexal torsion...
August 29, 2016: Emergency Radiology
J Petresin, J Wolf, S Emir, A Müller, A S Boosz
The incidence of endometriosis is increasing. Particularly during pregnancy and labour, clinicians should be alert to possible endometriosis-associated complications or complications of previous endometriosis treatment, despite a low relative risk. In addition to an increased rate of early miscarriage, complications such as spontaneous bowel perforation, rupture of ovarian cysts, uterine rupture and intraabdominal bleeding from decidualised endometriosis lesions or previous surgery are described in the literature...
August 2016: Geburtshilfe und Frauenheilkunde
Umit Arslan Nayki, Cenk Nayki, Nihal Cetin, Ferda Keskin Cimen, Abdulkadir Coban, Renad Mammadov, Ismail Hakkı Tas, Ismail Malkoc
AIM: To investigate the effect of Kineret® on ischemia reperfusion (IR) injury in rat ovaries. METHODS: Rats were divided into four groups: ovarian IR (IRG); 50 mg/kg Kineret® + ovarian IR (KIR-50); 100 mg/kg Kineret® + ovarian IR (KIR-100); and sham operation (SOC). KIR-50 (n = 10) and KIR-100 (n = 10) groups received an intraperitoneal injection of Kineret® at doses of 50 and 100 mg/kg, respectively. IRG and SOC (n = 10) rat groups were given distilled water as solvent using the same method...
August 24, 2016: Journal of Obstetrics and Gynaecology Research
Keun Ho Lee, Min Jong Song, In Cheul Jung, Yong Seok Lee, Eun Kyung Park
BACKGROUND: Torsion is known to be the most frequent complication of ovarian teratomas. Torsion of the adnexa usually manifests with severe abdominal pain and is treated as an acute surgical emergency. However, it may be asymptomatic. Autoamputation of an ovary, along with other adnexal structures, due to previous torsion is extremely rare. CASE PRESENTATION: A parasitic ovarian teratoma that underwent torsion, autoamputation, and reimplantation was found incidentally during laparoendoscopic single-site surgery (LESS)...
2016: World Journal of Surgical Oncology
Moses Mhayamaguru, Edward Haynes Bruno, Suzanne Michelle Rhodes, Richard Amini
No abstract text is available yet for this article.
August 16, 2016: Internal and Emergency Medicine
Kwang Ho Choi, Hye Jin Baek
INTRODUCTION: Inguinal hernia with containing the ovary presenting as a palpable groin mass is an uncommon congenital condition, and it may cause complications such as strangulation, torsion, and infertility. We present a case of ovarian herniation into inguinal canal with sonographic findings. PRESENTATION OF CASE: A 15-day-old infant girl visited our hospital with the complaints of palpable mass in the right groin. On physical examination, a palpable non-movable mass was found in the right inguinal region, and it was irreducible...
August 2016: Annals of Medicine and Surgery
N Hubner, J C Langer, S Kives, L M Allen
STUDY OBJECTIVE: The aim of this study is to document the change in ovarian conservation rate after ovarian torsion (OT) as a result of continuous quality improvement (CQI) measures, and to determine factors contributing to this outcome. DESIGN: A retrospective, uncontrolled before-and-after study. SETTING: An academic children's hospital. PARTICIPANTS: Females <18 years with surgically confirmed OT from April 1, 1988 to October 15, 2013; excluding cases from 2003 (intervention period)...
July 2, 2016: Journal of Pediatric and Adolescent Gynecology
Prathiksha Pai, Meena N Jadhav, Rashmi K Patil, Shreekant K Kittur
Sertoliform endometrioid carcinoma of the ovary (SEC) is an uncommon variant that bears histologic similarity to sertoli and sertoli-leydig cell tumors. We report an interesting case of SEC in a 55-year-old female with a left ovarian mass with torsion. Histology revealed an SEC, featuring foci of typical endometrioid carcinoma, and areas composed of uniform, small, hollow tubules lined by columnar cells with apical cytoplasm. Tumor cells were strongly immunoreactive for EMA and cytokeratin but negative for inhibin; thus, confirming the diagnosis of SEC ovary...
July 2016: Journal of Laboratory Physicians
Tumay Bekci, Ahmet Veysel Polat, Kerim Aslan, Leman Tomak, Meltem Ceyhan Bilgici, Murat Danaci
INTRODUCTION: The aim of this study was to evaluate the role of diffusion-weighted magnetic resonance imaging (MRI) in the diagnosis of ovarian torsion. METHODS: We retrospectively identified 84 patients with surgically confirmed ovarian torsion. Seventeen patients with unclear ultrasound findings underwent MRI examination with two different magnetic resonance (MR) systems. RESULTS: In ovarian torsion, the mean apparent diffusion coefficient (ADC) value of the torsed ovary was significantly lower than that of the nonaffected ovary in both MR systems (n=17; 0...
September 2016: Clinical Imaging
Francesca Bascietto, Marco Liberati, Luisa Marrone, Asma Khalil, Giorgio Pagani, Sarah Gustapane, Martina Leombroni, Danilo Buca, Maria Elena Flacco, Giuseppe Rizzo, Ganesh Acharya, Lamberto Manzoli, Francesco D'Antonio
OBJECTIVES: To explore the outcome of fetuses with a prenatal diagnosis of fetal ovarian cysts. METHODS: Medline and Embase databases were searched. The following outcomes were explored: resolution of the cyst, change of ultrasound pattern, occurrence of ovarian torsion and intra-cystic haemorrhage, need for surgery, need for oophorectomy, detection rate of prenatal ultrasound in correctly identifying ovarian cysts, type of ovarian cyst at histopathological analysis and intra-uterine treatment...
June 21, 2016: Ultrasound in Obstetrics & Gynecology
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