LAUSR

Does adnexal torsion (AT) represent an acute emergency and what are the reasons for this? Does every Obstetrician and Gynecologist and other resident physician need to be aware of this condition in order to reach a timely diagnosis? Are there recognized clinical risk factors? What are the methods used to diagnose the condition and what diagnostic clusters do they rely on? In this Commentary, we will strive to answer these questions based on robust medical evidence. It is a daily occurrence in busy clinical settings to manage women referred for acute abdominal pain, fever, nausea, and vomiting. However, these symptoms are specific and may be seen in different abdominopelvic diseases. The answer to the first question is yes, AT is an acute emergency situation. A timely diagnosis would prompt appropriate management and lead to an indication for emergency surgery in order to salvage the adnexa, where possible. From an anatomical and pathogenetic aspect, four different types of AT are recognized: tubo-ovarian torsion; isolated ovarian torsion, and and mesenteroaxial isolated Fallopian tube torsion