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KMID : 0358420070500050807
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Korean Journal of Obstetrics and Gynecology
2007 Volume.50 No. 5 p.807 ~ p.811
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Asynchronous bilateral adnexal torsion in a 16 year old female: A successful conservative treatment by Laparoscopic surgery
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Kim Jeong-Hyun
Kang Kyoung-Hwa
Yang Yun-Seok
Hwang In-Taek
Park Joon-Suk
Kim Seung-Hyun
Kim Jin-Sub
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Abstract
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Adnexal torsion is a disease occurring mostly in young fertile women that causes severe pain with necrosis of the adnexa requiring an emergency surgery. Because the symptoms and physical findings are similar to emergency diseases of adjacent organs such as appendicitis, diagnosis of adnexal torsion could be confused. Delayed diagnosis leads to delayed operation and for that reason adnexectomy is done more often than conservative management. Since prompt diagnosis is the sole way for preservation of the ovary and the salpinx, early diagnosis of adnexal torsion is essential. We experienced a case of a 16 year old female with torsion of the right adnexa who had the left adnexa previously removed due to torsion of the left adnexa. The case is presented with review of the literature.
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KEYWORD
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Adnexal torsion, Conservative management
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