Dr Fozia Hussain, Dr Moazza Latif, Dr Vallail Shahbaz
Introduction: Adnexal torsion is a gynecologic emergency caused by partial or complete twisting of the mesovarium. Early surgical intervention is needed to save the ovary. Objectives: The main objective of the study is to analyse the pelvic USG in the diagnosis of adnexal torsion. Material and methods: This descriptive study was conducted in S.M.B.B, Medical University, Larkana during January 2020 to June 2020. All female patients younger than 40 years of age who presented with acute pelvic pain with highly suspected ovarian torsion and for whom laparatomy were performed within less than 6 hours of the ultrasound assessment were included. Results: The average age of patients was 26.3±7.8 years. Of cases with abdominal pain, 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 ultrasound correctly diagnosed 72.1% of ovarian torsion cases and missed 27.9% of these cases. Conclusion: It is concluded that in case of clinical doubtfulness to torsion, ovarian sonography is strongly recommended. Also, if volume of ovary was increased simultaneously, examination by using color Doppler is also necessary.