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Comparative Study
. 2024 Dec;52(12):3000605241305251.
doi: 10.1177/03000605241305251.

Comparison of characteristics and outcomes of premenopausal and postmenopausal women with adnexal torsion

MengHui Li  1 , Hong Wang  1 , ShengDi Hou  1 , ShuZhen Wang  1 , Hua Li  1
Affiliations
Comparative Study

Comparison of characteristics and outcomes of premenopausal and postmenopausal women with adnexal torsion

MengHui Li et al. J Int Med Res. 2024 Dec.

Abstract

Objective: This study aimed to compare the clinical characteristics and surgical and histological outcomes of premenopausal and postmenopausal patients with adnexal torsion.

Methods: The electronic medical records of 278 patients with adnexal torsion proven by surgery were retrospectively reviewed from January 2012 to November 2023 in our hospital. The patients were divided into two groups (premenopausal and postmenopausal).

Results: The study included 226 (81.3%) premenopausal patients and 52 (18.7%) postmenopausal patients. The incidence of the most common symptoms (i.e., abdominal pain, nausea and/or vomiting) was not different between the two groups. However, the postmenopausal group had a longer interval from the onset of pain to admission, a larger size of adnexal mass, a longer operation time, more blood loss, and a longer hospital stay than the premenopausal group. Regarding the procedure, the premenopausal group underwent more conservative procedures than the postmenopausal group. The most common pathological findings in the two groups were benign tumors and tubal pathology The malignancy rate was similar in the two groups.

Conclusions: Premenopausal and postmenopausal women with adnexal torsion had similar main symptoms, such as abdominal pain and nausea and vomiting. However, the surgical and histological outcomes varied between these groups of women.

Keywords: Adnexal torsion; abdominal pain; histological outcome; nausea; postmenopause; premenopause; vomiting.

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Conflict of interest statement

Declaration of conflicting interestThe authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Flow chart of the study.
See this image and copyright information in PMC

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