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Torsion of the uterine adnexal tumor is an urgent surgical condition that usally occurs in women of reproductive age. Between January 1, 1961 and December 31, 1969, among 8215 obstetric and 4762 gynecologic admission to dept of obst. & Gynec., at Severance Hospital, Yon Sei university there were 35 cases of adnexal tumors with symptoms producing torsion of the pedicle. 8 cases appeared among the obstetric patient(1:1027) and 27 in the gynecologic group(1:176). In the present review of 35 women with surgically proved disease, sudden abdominal pain, a tender pelvic mass and signs of moderate pelvic, peritoneal irritation were the most specific helps to diagnosis. Most patients with twisted uterine adnexa did not have malignancy.
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