Adnexal torsion - A clinicopathologic review of 31 cases

OBJECTIVE: To evaluate the correlation between clinical parameters, intraop erative assessment of tissue viability and histopathology in adnexal torsio n. STUDY DESIGN: A retrospective study of 31 patients undergoing surgical inte rvention for adnexal torsion was performed, and clinical and pathologic par ameters were compared. RESULTS: Intraoperative evaluation of viability was confirmed in 10/12 case s. Impression of necrosis was confined in 18/19 cases. Fever was seen in 2/ 12 patients with viable adnexa and in 7/19 patients with necrosis. CONCLUSION: Intraoperative impression of tissue vi-ability correlated well with histopathology. Fever was significantly associated with tissue necrosi s.