Clinico Pathological Profile of Adnexal Torsion Cases- A Retrospective Analysis from A Tertiary Care Teaching Hospital in Southern India

Abstract

Introduction: Adnexal torsion is a significant source of morbidity, and nonspecific signs can make diagnosis difficult. Early identification is crucial to avoid ovarian infarction and the likelihood of related infertility. Our study aims to assess the clinicopathological profile of adnexal torsion cases through retrospective analysis from a tertiary care teaching hospital in southern India. Methods: This retrospective study was carried out in the Department of Obstetrics and Gynaecology at a tertiary care teaching hospital in Tamil Nadu, India. Data was collected on women with surgically proven adnexal torsion from January 2019 to December 2022. Proper ethics permission was obtained, and informed consent was taken from all the patients prior to the commencement of the study. The subjects' confidentiality was maintained. The data was represented using detailed descriptive analyses, medians, and percentages. Statistical analysis was carried out using Microsoft Excel 2007 and IBM SPSS version 21. Conclusion: Adnexal torsion is an uncommon condition. Acute stomach discomfort, nausea, and vomiting are the most common symptoms. Adnexal torsion’s clinical and radiographic diagnosis is challenging for both doctors and radiologists.  As a result, extensive clinical experience and radiological abilities are necessary.  Early identification and surgical treatment save the ovary while maintaining its function.