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Sudden/nocturnal onset of acute abdominal pain, lasting less than a day and accompanied by vomiting: a tell-tale sign of ovarian torsion
- Source :
- Gynecological Surgery. 7:297-301
- Publication Year :
- 2010
- Publisher :
- Springer Science and Business Media LLC, 2010.
-
Abstract
- The purpose of the study was to construct a clinical profile of a patient more likely to have ovarian torsion (OT). The study design was a retrospective chart review (Canadian Task Force Classification II-3). The study was done in a tertiary referral center setting. Patients were 78 women who underwent laparoscopy for suspected ovarian torsion. Intervention done was urgent laparoscopic surgery. The main outcome measure was a comparison of demographic data and the presenting signs and symptoms of the women with and without laparoscopically proven OT. Multivariable analysis was performed with a logistic regression model in order to determine the independent risk predictors for OT. The following factors were found to be predictive of OT: vomiting (OR = 5.67, 95% CI 1.69–19.0, p = 0.005); duration of pain less than a day (OR = 3.74, 95% CI 1.24–11.3, p = 0.02), and sudden/nocturnal onset of pain (OR = 4.13, 95% CI 1.19–14.3, p = 0.02). The model was found to be adequate, with a c value of 0.798. A patient presenting with an episode of pain lasting less than a day that started suddenly and or at night, accompanied by vomiting is more likely to have OT on urgent laparoscopy.
- Subjects :
- Laparoscopic surgery
medicine.medical_specialty
Pediatrics
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Reproductive medicine
Ovarian torsion
Obstetrics and Gynecology
Interventional radiology
Nocturnal
Logistic regression
medicine.disease
Anesthesia
Vomiting
Medicine
Surgery
medicine.symptom
business
Laparoscopy
Subjects
Details
- ISSN :
- 16132084 and 16132076
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Gynecological Surgery
- Accession number :
- edsair.doi...........874f71601721d1b59f8f90ed2dd45113