Dr. Anum Fayyaz Khan, Dr. Rabia Ismail, Dr. Sahr Sarfraz, Dr. Awais Bin Khalid
Introduction: Misdiagnosing ovarian torsion is now suggested as an important issue in clinical setting that is suggested to be related to the variety of its clinical manifestations. Objectives: The main objective of the study is to find the accuracy of pelvic ultrasound in diagnosing adnexal torsion in females of reproductive age group presenting with lower abdominal pain. Material and methods: This descriptive study was conducted in Jinnah Hospital, Lahore during March 2019 to November 2019. All women aged between 14 and 45 years with acute lower abdominal pain suggestive of ovarian or adnexal were identified. Among the selected subjects, only those with positive ultrasound findings suggestive of ovarian/adnexal torsion and underwent laparoscopic surgery were included in this study. Results: The data was collected from 100 patients. 43 (13.3%) were confirmed as cases of ovarian torsion by surgery and other surgical diagnoses were appendicitis (24.8%), hemorrhagic cyst (22.9%), ectopic pregnancy (21.1%), and others (18.0%). The highest and the lowest mean age was specified to women suffering from ovarian torsion (24.9 ± 8.0 years) and hemorrhagic cyst (26.9 ± 7.8 years). Twenty eight women (8.7%) were pregnant who suffered the most from ovarian torsion compared with non-pregnant women (35.7% versus 11.1%, p < 0.001). Conclusion: It is concluded that increment in the number of cases of adnexal torsion demands specific, quick, and accurate diagnostic measure. Ultrasound has been the most successful technique in this scenario.