Maliheh Arab, Afsaneh Tehranian, Akram Ghara Mohammadi, Mojgan Hashemieh.
Review of gray-scale ultrasonographic findings: a valuable guide to suspect adnexal torsion.
Pak J Med Sci Jan ;26(2):300-3.

Objective: To report preoperative gray-scale sonographic characteristics of adnexal Torsion. Methodology: In a retrospective multi-centric study in 20 hospitals, 148 out of 3303 adnexal mass operations, proved histopathologically as Adnexal Torsion, were reviewed regarding age, involved side and gray-scale abdominal sonographic findings. Results: Torsion occurred in 5% of benign adnexal surgeries. Mean age was 29(SD=12), Mean mass diameter was 9 cm and they mostly revealed a cystic pattern (84%). Free peritoneal fluid was seen in 29%. Right-sided involvement was shown in 62%. Conclusion: Gray-scale sonographic findings are valuable besides clinical findings to suspect adnexal Torsion.

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