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- W2015603916 abstract "<h3>Objective</h3> To investigate the incidence, risk factors, and sonographic findings of maternal ovarian torsion in pregnancy. <h3>Design</h3> Retrospective study. <h3>Setting</h3> Department of Obstetrics/Gynecology of a tertiary referral center. <h3>Patient(s)</h3> Thirty-three pregnant women with 38 episodes of surgically proven torsion between the years 1993 to 2007. <h3>Intervention</h3> Surgical confirmation and treatment of torsion. <h3>Main Outcome Measure(s)</h3> Clinical and sonograpgic findings of ovarian torsion in pregnancy. <h3>Results</h3> Sixteen (48.5%) pregnancies were conceived by ovulation induction or in vitro fertilization. Twenty-one torsion events occurred in the first trimester (55.3%) versus 13 (34.2%) and 4 (10.5%) in the second and third trimester, respectively. All patients were admitted with abdominal pain, whereas 22 (57.9%) reported nausea/vomiting. The preoperative ultrasound examination showed unilocular ovarian cysts in 15 (39.5%) cases, multicystic ovaries in 14 (36.8%), and normally appearing ovaries in 9 (23.7%) cases. The multicystic ovary was more common in the first trimester torsion, whereas the normal appearing ovary was more common in the second and third trimester torsion (47.6% vs. 23.5% and 14.3% vs. 35.3%, respectively). The median duration from admission to surgery was 6 hours (range, 1 hour to 3.7 days), being significantly shorter in the first trimester. <h3>Conclusion(s)</h3> Ovarian torsion in pregnancy is more common in the first trimester, and induction of ovulation is a major risk factor." @default.
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- W2015603916 date "2009-12-01" @default.
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- W2015603916 title "The clinical characteristics and sonographic findings of maternal ovarian torsion in pregnancy" @default.
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- W2015603916 doi "https://doi.org/10.1016/j.fertnstert.2008.09.028" @default.
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