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Adnexal torsion without neoplastic lesions after laparoscopic hysterectomy: A report of three cases and literature review
Author(s) -
Ogawa Chiemi,
Amano Tsukuru,
Higuchi Asuka,
Tsuji Shunichiro,
Kimura Fuminori,
Murakami Takashi
Publication year - 2021
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14607
Subject(s) - medicine , torsion (gastropod) , adnexal diseases , hysterectomy , lesion , laparoscopy , adnexal mass , surgery , radiology
The major risk factor for adnexal torsion is the presence of adnexal neoplasms, and torsion without a neoplastic lesion of the adnexa is rare. We report three cases of right adnexal torsion without neoplastic lesion after laparoscopic hysterectomy. In all three cases, the right adnexas, which did not form adhesions, had undergone torsion. According to several case reports, most cases of adnexal torsion after laparoscopic hysterectomy developed without neoplastic lesion. In fact, adnexal torsion without neoplasm is reported to occur relatively frequently after laparoscopic hysterectomy and more commonly involves the right side. Therefore, at the end of laparoscopic hysterectomy, ovariopexy should be performed to prevent postoperative adnexal torsion.