Twists and Turns: Navigating Clinicoradiological Presentations, Decision Making in Management and Histopathological Revelations of Adnexal Torsion

Adnexal torsion is a rare condition that can be potentially fatal if untreated. It has a varied clinical presentation and can affect any age group. Clinicians can diagnose and treat adenexal torsion more accurately if they are aware of the clinical and pathological characteristics of the patients. To analyze the clinical and pathological profile of adnexal torsion cases in Saveetha Medical College. The study was a retrospective analysis of hospital records which included all cases of adnexal torsion that underwent treatment between January 2023 to January 2024 in Saveetha MedicalCollege.The majority (61.37%) of participants were in the reproductive age group (18-40 years).Abdominal pain was the most common symptom seen in 84.44% of patients.Majority of the women belonged to Para 2 (54.44%) and Para 1 (24.24%).Half the subjects underwent Vaginal delivery while the remaining underwent Caesarean section.A right-sided predominance was observed with most of them having one and two turns (32%).On histopathological examination, a simple serous cyst (25%) was the most predominant finding.Even though adnexal torsion is a rare clinical illness, it typically manifests as an emergency.A high degree of suspicion is necessary for the diagnosis because there are many possible clinical presentations.However, the diagnosis can only be confirmed on the operating table.The patient should be operated on as soon as possible to prevent complications and aid in conserving the ovary.