Author(s): Najafiyan Mahin, Cheraghi Maria*, Mahmodi Mandana
Ovarian tumors and cysts are major problem in women. Rupture and torsion are major damages which may lead to abdominal pain and acute abdomen. Cysts are the most prevalent pelvic mass in pregnancy and often associated with function disorders of menstruation which are mostly improved spontaneously. In some cases which are the result of cyst rupture, torsion or bleeding in to the cyst, laparotomy may be needed. This was a prospective-descriptive study that has been performed during 10 years, 155 cases with adnexal torsion were studied from the pathological and clinical point of view. Data was analysed using SPSS, version 16. The most prevalent age was 20-30 years, and almost all the cases had abdominal pain. The right ovarian was engaged in 78% of cases, and 1% were bilateral. From pathological point of view, the most prevalent type of functional mass was follicular and luteal, which luteal was more prevalent followed by dermoid cyst. In 19% of cases, adnexal torsion occurred in pregnant women. One of the important causes for abdominal pain is adnexal torsion, especially during pregnancy and delayed in diagnosis, may lead to peritonitis necrosis, it should be considered always as an emergency case. Early diagnosis is necessary to preserve adnex. In this study, the most prevalent parts are right adnex, functional mass type and finally dermoid cyst.