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  • Title: Conservative therapy for adnexal torsion. A case report.
    Author: Wagaman R, Williams RS.
    Journal: J Reprod Med; 1990 Aug; 35(8):833-4. PubMed ID: 2213749.
    Abstract:
    Adnexal torsion has traditionally been treated with oophorectomy because of the fear that untwisting the ovarian pedicle may result in a thrombotic embolus. Such a patient had bilateral adnexal torsion secondary to dermoid cysts. Since standard therapy, oophorectomy, was performed, the patient was surgically castrated. A review of the literature revealed no reported cases of a thrombotic embolus arising from the untwisting of twisted adnexa and supported conservation of the adnexa rather than routine extirpation, except when necrotic.
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