Letter to the Editor: Ovarian Torsion: Diagnostic Dilemmas and its Implications

Madam, Adnexal torsion is reported to be the fifth most common gynaecologic emergency in women of reproductive age with a prevalence of 2.7%.It was mentioned in a recent study by Arab M et al1 that adnexal torsion is underdiagnosed and also that Gray-scale sonographic findings like simple cyst (52.5% cases), serous cystadenoma (18% cases), mucinous cystadenoma (11% cases) and dermoid cysts (11% cases) are valuable besides clinical findings to suspect adnexal torsion. Its a challenging working diagnosis for clinicians and the diagnostic dilemmas from the initial clinical assessment to final diagnosis are discussed in Table.