ADNEXAL TORSION - STILL A DIAGNOSTIC CHALLENGE

Geeta Katheit, Shivangini Sahay, Neerja Goel, Samta Gupta
In: INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH · 2021 · pp. 34–35 · doi:10.36106/ijsr/9101102 · W3210563201
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⚙ AI-generated summary by qwen3.7-flash, 2026-09-03 ⓘ

This case report highlights the diagnostic challenges of adnexal torsion, a gynecological emergency, by illustrating a failure to recognize it as a differential diagnosis during initial assessment despite its importance for preserving ovarian vitality and future fertility.

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Abstract

Adnexal torsion is a gynecological emergency. It is dened as the partial or complete rotation of the adnexa around its ovarian vascular axis that may cause an interruption in the ovarian blood ow.1 With a reported prevalence of 2.7% in all cases of acute abdominal pain, adnexal torsion is the fth most common gynecological emergency.2 Early diagnosis is extremely important in all cases for the vitality of ovary but is more signicant in young women since it may dictate future fertility. Diagnosis of ovarian torsion is extremely challenging. Patients can have variable and nonspecic clinical symptoms making the differential diagnosis enigmatic. Hence clinical suspicion and timely intervention are very crucial .We report a case where there was failure to recognize ovarian torsion as a differential diagnosis during initial assessment.

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