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Obstetrics & Gynecology:
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Bilateral Torsion of the Adnexa: A Case Report and a Review of the World Literature.

DUNNIHOO, DALE R. MD, PHD; WOLFF, JAMES MD

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Abstract

: 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. (Obstet Gynecol 64:55S, 1984)

(C) 1984 The American College of Obstetricians and Gynecologists

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