Ovarian Torsion: Report of 27 Cases at Surgical Department of Aristide Le Dantec Teaching Hospital of Dakar, Senegal

摘要

Objective: Diagnosis of ovarian torsion in developed countries can be done early because of quick access to healthcare and adequate equipment for health structures. In developing countries, this diagnosis is a real challenge. The aim of this research was to describe the epidemiologic, clinical, and management aspects of ovarian torsion in under-resourced settings. Materials and Methods: This was a retrospective study conducted over 10 years (from January 2000 to December 2010) at the Surgical Department of Aristide Le Dantec Teaching Hospital of Dakar in Dakar, Senegal. All women admitted with surgically proven ovarian torsion were included in this study. Results: There were 27 women with ovarian torsion, representing 12.4% of patients who had surgery for ovarian cysts. Twenty-five patients were of reproductive age (92.6%), and 2 were postmenopausal (7.4%). Abdominal pain was the most common sign. Ultrasonography showed adnexal enlargement in 88.9% of the cases. The right side was the most frequently affected, with 18 cases (66.7%). The most common treatment was oophorectomy. Conclusions: Ovarian torsion is most common in women of reproductive age. Surgical management is often radical due to delayed diagnosis. (J GYNECOL SURG 33:223)