From: Ovarian conservation in adnexal torsion-a report of six cases
Cases | Pre-surgery USS | Surgical procedure | Histology | Readmissions | Post-surgery USS |
---|---|---|---|---|---|
1 | R ovary: normal | Laparotomy-paratubal cyst excision and detorsion of left adnexum × 2 | Paratubal cyst | No | R ovary: 3.2 × 2.6 × 2.1 cm |
L ovary: cyst 9.1 × 6.6 × 8 cm | RI = 0.55 | ||||
L paratubal cyst 5.1 × 7 × 4.6 cm | L ovary: 2.9 × 2.5 × 2.0 cm | ||||
RI = 0.51 | |||||
2 | 12-week viable singleton pregnancy R ovary: normal | Laparoscopy-detorsion of left ovary and para-tubal cyst. Cystectomy and left ovariopexy | Haemorrhagic and infarcted tissue | No | R ovary 71 cc and contains follicles |
L ovary: cysts 6.5 × 5.6 × 4.9 cm and 6.4 × 5.7 × 5.2 cm | RI refused | ||||
L ovary not clearly seen-rescan refused | |||||
3 | 13-week viable singleton pregnancy; R ovary: cyst 3.1 × 3.1 × 3.8 cm; L ovary: cyst 16.2 × 5.8 × 13.3 cm | Laparoscopy-ovarian cyst aspiration, detorsion of left ovary and cystectomy. Left ovariopexy | Mucinous cystadenoma | Yes-USS-guided aspiration of left ovarian cyst | R ovary: 4.0 × 3.0 × 1.7 cm RI = 0.54 L ovary: 3.2 × 2.6 × 2.8 cm RI = 0.57 |
4 | R adnexum: cystic structure 8.1 × 6.6 × 5.4 cm | Laparoscopy-right salpingectomy and ovariopexy | Haemorrhagic infarction of right fallopian tube | Yes–laparotomy right oophorectomy | R ovary: absent |
L ovary: 4.1 × 2.4 × 5.1 cm | L ovary: 3.2 × 2.4 × 2.8 m | ||||
RI = 60 | |||||
5 | 17-week viable singleton pregnancy | Laparoscopy-detorsion of right ovary and cystectomy. Right ovariopexy | Mature cystic teratoma | No | R ovary: 3.0 × 3.3 × 2.1 cm |
R ovary: cyst 9.3 × 7.4 × 7.5 cm | RI = 0.54 | ||||
L ovary: normal | L ovary: 2.6 × 2.2 × 2.2 cm | ||||
RI = 0.59 | |||||
6 | R ovary: cyst diameter 6.5 cm | Laparoscopy-detorsion of right cyst and tube. Cystectomy | Mature cystic teratoma | No | R ovary: 2.6 × 2.2 × 1.8 cm |
L ovary: normal | RI = 0.49 | ||||
L ovary: 3.1 × 3.0 × 2.2 cm | |||||
RI = 0.51 |