CT predictors for selecting conservative surgery or adnexectomy to treat adnexal torsion.

Abstract Purpose To identify computed tomography (CT) findings for selection between conservative surgery and adnexectomy in patients of reproductive age with adnexal torsion. Methods This retrospective study included 54 consecutive patients who underwent preoperative CT imaging before undergoing either conservative surgery or adnexectomy to treat adnexal torsion. Results By multivariate analysis, CT finding of tubal thickening was significantly associated with the patients treated with adnexectomy (odds ratio=7.6, P =.008). Conclusion Although the majority of patients of reproductive age with adnexal torsion can be treated with conservative surgery, patients who require adnexectomy tend to have a tubal thickening on CT.