Study Objective

The aim of this study was to compare the characteristics of adolescents with and without adnexal mass who were diagnosed with ovarian torsion (OT).

Design

Retrospective cross-sectional study.

Setting

Gynecology Department at Tepecik Education and Reseach Hospital, Izmir, Turkey.

Participants

Adolescent girls who received surgery for OT between March 2012 and October 2020 in our institution.

Interventions and Main Outcome Measures

The patients were divided into 2 groups according to the presence or absence of an ovarian mass and compared. Demographic and clinical characteristics, imaging findings, surgery, and pathology reports of the patients were obtained. Differences in initial symptoms, ultrasound findings, the diagnostic process, and the degree of torsion in patients with and without ovarian mass.

Results

Seventy-six patients were diagnosed with OT. Of the 76 patients, 41/76 (53.9%) had an ovarian mass (OTwM), and 35/76 (46.1%) had no pathology (OTnP). The admission to surgery interval was longer in the OTnP group (P = .03). Ultrasound findings of ovarian edema and the appearance of free fluid were significant in the OTnP group (P = .001). The largest dimension of the nontorsion ovary in the OTnP group was greater than in the OTwM group (P = .03). In addition, it was found that torsion more than 360° was more common in the OTnP group than in the OTwM group (24/35, 68.5% vs 41/18, 43.9%; P = .03).

Conclusion

In symptomatic adolescents without an ovarian mass, the presence of follicle peripheralization suggesting ovarian edema on ultrasound and the presence of free fluid in the abdomen are important in terms of suspicion of torsion for clinicians. In addition, the degree of torsion was increased in these patients.

中文翻译：

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有和没有卵巢肿块的青少年的卵巢扭转：一项横断面研究

学习目标

本研究的目的是比较被诊断为卵巢扭转 (OT) 的有和没有附件肿块的青少年的特征。

设计

回顾性横断面研究。

环境

土耳其伊兹密尔 Tepecik 教育与研究医院妇科。

参与者

2012 年 3 月至 2020 年 10 月期间在我们机构接受过 OT 手术的少女。

干预措施和主要结果措施

根据有无卵巢肿块将患者分为两组并进行比较。获得了患者的人口统计学和临床​​特征、影像学表现、手术和病理报告。有和无卵巢肿块患者的初始症状、超声检查结果、诊断过程和扭转程度的差异。

结果

76 名患者被诊断为 OT。在 76 名患者中，41/76 (53.9%) 有卵巢肿块 (OTwM)，35/76 (46.1%) 没有病理 (OTnP)。OTnP 组的入院间隔时间更长（P  = .03）。OTnP 组中卵巢水肿的超声检查结果和游离液体的出现是显着的 ( P  = .001)。OTnP 组非扭转卵巢的最大尺寸大于 OTwM 组 ( P  = .03)。此外，发现 OTnP 组的扭转超过 360° 比 OTwM 组更常见（24/35, 68.5% vs 41/18, 43.9%; P  = .03）。

结论

在没有卵巢肿块的有症状的青少年中，超声检查提示卵巢水肿的卵泡外周化的存在和腹部游离液体的存在对于临床医生怀疑扭转很重要。此外，这些患者的扭转程度增加。