Adnexal torsion: is there a familial tendency?
Objective: To investigate whether patients diagnosed with adnexal torsion report a family history of adnexal torsion in a first degree relative. Materials and Methods: All women with a surgical diagnosis of adnexal torsion operated from 2008 to 2016 were contacted for participation in the study. The...
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IMR Press
2020-02-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/47/1/10.31083/j.ceog.2020.01.5017 |
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| author | N. Smorgick O. Nir M. Pekar-Zlotin S. Maymon Y. Melcer R. Maymon |
| author_facet | N. Smorgick O. Nir M. Pekar-Zlotin S. Maymon Y. Melcer R. Maymon |
| author_sort | N. Smorgick |
| collection | DOAJ |
| description | Objective: To investigate whether patients diagnosed with adnexal torsion report a family history of adnexal torsion in a first degree relative. Materials and Methods: All women with a surgical diagnosis of adnexal torsion operated from 2008 to 2016 were contacted for participation in the study. The study was conducted by a telephone questionnaire. In addition, the medical records were retrospectively reviewed and information on demographic characteristics, surgical findings at time of torsion, and history of recurrent torsion events were collected. Results: Two hundred thirty women with a surgical diagnosis of adnexal torsion were identified. Of these, 147 women were reached and agreed to participate in the study. A history of adnexal torsion in a first degree relative was reported by seven (4.8%) patients: three cases involved an adnexal torsion event in a sister, and four cases involved an adnexal torsion event in a mother or daughter. Patients with a positive family history of adnexal torsion were more likely to experience torsion of otherwise normal adnexa without adnexal cysts compared to those with a negative family history (71.4% vs. 27.1%, p = 0.01) and to report recurrent torsion events (57.1% vs. 17.1%, p = 0.009). Conclusion: A family history of adnexal torsion in a first degree relative is found in a minority of cases and is significantly associated with torsion of otherwise normal adnexa and with recurrent torsion events. Thus, patients with a family history of torsion may be considered a high-risk subgroup of patients. |
| format | Article |
| id | doaj-art-1ae8f538f7ea4f9f9c0d2bc6643000da |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2020-02-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-1ae8f538f7ea4f9f9c0d2bc6643000da2025-08-20T01:59:05ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632020-02-01471626410.31083/j.ceog.2020.01.5017S0390-6663(20)00205-5Adnexal torsion: is there a familial tendency?N. Smorgick0O. Nir1M. Pekar-Zlotin2S. Maymon3Y. Melcer4R. Maymon5Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, IsraelDepartment of Obstetrics and Gynecology, Assaf Harofe Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, IsraelDepartment of Obstetrics and Gynecology, Assaf Harofe Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, IsraelDepartment of Obstetrics and Gynecology, Assaf Harofe Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, IsraelDepartment of Obstetrics and Gynecology, Assaf Harofe Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, IsraelDepartment of Obstetrics and Gynecology, Assaf Harofe Medical Center, Affiliated with Sackler School of Medicine, Tel Aviv University, IsraelObjective: To investigate whether patients diagnosed with adnexal torsion report a family history of adnexal torsion in a first degree relative. Materials and Methods: All women with a surgical diagnosis of adnexal torsion operated from 2008 to 2016 were contacted for participation in the study. The study was conducted by a telephone questionnaire. In addition, the medical records were retrospectively reviewed and information on demographic characteristics, surgical findings at time of torsion, and history of recurrent torsion events were collected. Results: Two hundred thirty women with a surgical diagnosis of adnexal torsion were identified. Of these, 147 women were reached and agreed to participate in the study. A history of adnexal torsion in a first degree relative was reported by seven (4.8%) patients: three cases involved an adnexal torsion event in a sister, and four cases involved an adnexal torsion event in a mother or daughter. Patients with a positive family history of adnexal torsion were more likely to experience torsion of otherwise normal adnexa without adnexal cysts compared to those with a negative family history (71.4% vs. 27.1%, p = 0.01) and to report recurrent torsion events (57.1% vs. 17.1%, p = 0.009). Conclusion: A family history of adnexal torsion in a first degree relative is found in a minority of cases and is significantly associated with torsion of otherwise normal adnexa and with recurrent torsion events. Thus, patients with a family history of torsion may be considered a high-risk subgroup of patients.https://www.imrpress.com/journal/CEOG/47/1/10.31083/j.ceog.2020.01.5017adnexal torsionovarian torsionrecurrent torsion |
| spellingShingle | N. Smorgick O. Nir M. Pekar-Zlotin S. Maymon Y. Melcer R. Maymon Adnexal torsion: is there a familial tendency? Clinical and Experimental Obstetrics & Gynecology adnexal torsion ovarian torsion recurrent torsion |
| title | Adnexal torsion: is there a familial tendency? |
| title_full | Adnexal torsion: is there a familial tendency? |
| title_fullStr | Adnexal torsion: is there a familial tendency? |
| title_full_unstemmed | Adnexal torsion: is there a familial tendency? |
| title_short | Adnexal torsion: is there a familial tendency? |
| title_sort | adnexal torsion is there a familial tendency |
| topic | adnexal torsion ovarian torsion recurrent torsion |
| url | https://www.imrpress.com/journal/CEOG/47/1/10.31083/j.ceog.2020.01.5017 |
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