Post-radical hysterectomy ovarian torsion—A gynecological emergency: a case series

Adnexal torsion is estimated to occur between 1% and 8% in post-hysterectomy cases. It can be a difficult to diagnose condition, with prudent history-taking, relevant investigations, and a low threshold to consider laparoscopy forming essential clinical acumen. Unfortunately, the suspension of the ovaries post-hysterectomy does not exclude future ovarian torsion. With rising rates of cervical cancer in premenopausal women, reportedly increasing by 37% in the 25-34 age range in the United Kingdom (National Cancer Registration and Analysis Service, Public Health England. 2021), further research is needed to improve techniques to allow for safe ovarian conservation for these patients while undergoing operative treatment of cervical cancer.

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Publication Details

Journal
Journal of Medical Case Reports
Published
2024-12-01
DOI
https://doi.org/10.1186/s13256-024-04740-8
Primary Topic
Ovarian cancer diagnosis and treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Post-radical hysterectomy ovarian torsion—A gynecological emergency: a case series

Sonali Kaushik, Nicholas C. Harvey, J. Nallathambi
Journal of Medical Case Reports
Ovarian cancer diagnosis and treatment
article

Post-radical hysterectomy ovarian torsion—A gynecological emergency: a case series

Sonali Kaushik, Nicholas C. Harvey, J. Nallathambi
article en

Abstract

Adnexal torsion is estimated to occur between 1% and 8% in post-hysterectomy cases. It can be a difficult to diagnose condition, with prudent history-taking, relevant investigations, and a low threshold to consider laparoscopy forming essential clinical acumen. Unfortunately, the suspension of the ovaries post-hysterectomy does not exclude future ovarian torsion. With rising rates of cervical cancer in premenopausal women, reportedly increasing by 37% in the 25-34 age range in the United Kingdom (National Cancer Registration and Analysis Service, Public Health England. 2021), further research is needed to improve techniques to allow for safe ovarian conservation for these patients while undergoing operative treatment of cervical cancer.

Journal of Medical Case ReportsVol. 18(1)
Royal Sussex County Hospital (GB), Conquest Hospital (GB), Princess Royal Hospital (GB)
Openalex Percentile: Top 67%
Ovarian cancer diagnosis and treatment
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