Study of Adnexal Torsion Ovary in a Tertiary Care

Aims and Objectives Adnexal torsion is a rare gynaecological emergency that may require an early surgical intervention to save the adnexa from irreversible damage. Aim of the study is about clinical presentation and management approach of adnexal torsion in a tertiary care centre. Study DesignStudy design is Descriptive record based study Materials and Methods Review of case records in OBG department at Father Muller Medical College from September 2016 to April 2018. Results Adnexal torsion was found mainly in the reproductive age who mainly presented with pain abdomen. Ultrasound was the most commonly used imaging modality. Benign tumours predispose to torsion. Diagnosis of adnexal torsion was mostly intra operative by direct visualisation of the rotated adnexa. Laparoscopy was the preferred method of surgical intervention. Conservative surgeries was tried in majority of the child bearing age groups. Conclusion Adnexal torsion is a rare emergency which requires a high index of clinical suspicion for diagnosis as the symptoms are non specific. Imaging helps in diagnosis but most of them are diagnosed intra operatively. Laparoscopic conservative surgery is the preferred surgical approach especially in younger age groups. An early surgical intervention helps in salvaging the adnexa and prevents further complications.