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Accuracy of Pelvic Ultrasound in Diagnosing Adnexal Torsion.

Authors :
Ghulmiyyah L
Nassar A
Sassine D
Khoury S
Nassif J
Ramadan H
Najem E
Berjawi G
Source :
Radiology research and practice [Radiol Res Pract] 2019 Jul 01; Vol. 2019, pp. 1406291. Date of Electronic Publication: 2019 Jul 01 (Print Publication: 2019).
Publication Year :
2019

Abstract

Ovarian/adnexal torsion is a rather frequent occurrence in women of reproductive age group worldwide. Etiologies are quite diverse with ovarian lesions and corpus luteal cysts being the most two common. Pelvic or intravaginal ultrasound remains the first-line imaging modality used for diagnosis and evaluation of suspected ovarian/adnexal torsion. In this study, we have adopted a case-based statistical analysis to identify important sonographic markers and further evaluated their contribution in identifying ovarian torsion. Our study successfully determined the important sonographic markers. Our observation and analysis suggest that ovarian enlargement is the most sensitive marker. Ovarian edema was found to be the most specific marker to identify the ovarian torsion with higher level of accuracy and confidence. This pioneer study will provide valuable information and direction to the medical practitioners and radiologists for better diagnosis. Further studies with large sample size will help in establishing our findings universally.

Details

Language :
English
ISSN :
2090-1941
Volume :
2019
Database :
MEDLINE
Journal :
Radiology research and practice
Publication Type :
Academic Journal
Accession number :
31354994
Full Text :
https://doi.org/10.1155/2019/1406291