Dermoid cysts causing adnexal torsion: What are the risk fac
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Highlights
-Adnexal torsion is diagnosed in ?20% of women operated for dermoid cysts.

-Torsion involving dermoid cysts is associated with younger age.

-Patients with torsion commonly present with nausea and/or vomiting, in addition to abdominal pain.
Abstract

Dermoid cysts (benign mature cystic teratoma) are a relatively common cause of adnexal torsion. Study aimed to identify the clinical and surgical characteristics associated with adnexal torsion involving dermoid cysts.

The study included 231 patients who were operated for ovarian dermoid cysts. Of these, the surgery was performed urgently for suspected adnexal torsion in 77 cases, while adnexal torsion was surgically diagnosed in 51 cases. Diagnosis of torsion was significantly associated with younger mean age, but not with the mean cyst diameter. Regarding cyst size, torsion was found in women with cyst diameter ? 55 mm, 60?90 mm, and ? 100 mm. Although abdominal pain was reported in most women with and without torsion, patients with adnexal torsion were significantly more likely to present with nausea and/or vomiting.

Conclusively, Torsion of dermoid cysts is associated with younger age, but not with the mean cyst’s diameter. Surgical removal of dermoid cysts should be considered in pre-menarchal girls, adolescents, and young women to prevent adnexal torsion.

Source:https://www.ejog.org/article/S0301-2115(20)30315-8/pdf
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