Bilateral torsion of the adnexa: a case report and a review of the world literature

Obstet Gynecol. 1984 Sep;64(3 Suppl):55S-59S. doi: 10.1097/00006250-198409001-00015.


The 15th case of bilateral adnexal torsion, or the fifth case in which the bilateral adnexal torsion did not occur simultaneously, is presented. A review of the cases reported in the world literature reveals that fever (82%), nausea and/or vomiting (73%), and abdominal pain (93%) were the most common symptoms. Previous recurrent attacks of abdominal pain occurred in 53% of patients and may be the one finding that is highly suggestive of this entity. The adnexa were histologically normal in 50% of the specimens, with the remaining adnexal tissues manifesting evidence of tubal infection (ie, hydrosalpinx and pyosalpinx). The diagnosis was suspected preoperatively in only 38% of the cases.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adnexal Diseases / diagnosis*
  • Adnexal Diseases / pathology
  • Adnexal Diseases / surgery
  • Adolescent
  • Adult
  • Appendicitis / diagnosis
  • Child
  • Child, Preschool
  • Diagnosis, Differential
  • Fallopian Tubes / pathology
  • Female
  • Humans
  • Infant
  • Infarction / pathology
  • Laparoscopy
  • Laparotomy
  • Middle Aged
  • Ovary / pathology
  • Pelvic Inflammatory Disease / diagnosis
  • Recurrence
  • Torsion Abnormality
  • Uterus / pathology