Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management
<h3>Background</h3><p dir="ltr">In Qatar, primary presentation of acute abdominal pain with most women is to the Emergency Department. Adnexal torsion is a rare time limiting surgical emergency with severe reproductive health consequences characterised by such a presentat...
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2024
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| _version_ | 1864513514157113344 |
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| author | Morounfolu Thompson (17045472) |
| author2 | Sufia Athar (14777830) Rafael Gonzalez Olubunmi Oniya (18507536) Naglaa Mohamed (1378089) Yehia El Khawly (18466100) Kholode Al Maslamani (18507539) Lolwa Al Ansari (18466227) |
| author2_role | author author author author author author |
| author_facet | Morounfolu Thompson (17045472) Sufia Athar (14777830) Rafael Gonzalez Olubunmi Oniya (18507536) Naglaa Mohamed (1378089) Yehia El Khawly (18466100) Kholode Al Maslamani (18507539) Lolwa Al Ansari (18466227) |
| author_role | author |
| dc.creator.none.fl_str_mv | Morounfolu Thompson (17045472) Sufia Athar (14777830) Rafael Gonzalez Olubunmi Oniya (18507536) Naglaa Mohamed (1378089) Yehia El Khawly (18466100) Kholode Al Maslamani (18507539) Lolwa Al Ansari (18466227) |
| dc.date.none.fl_str_mv | 2024-05-26T08:57:03Z |
| dc.identifier.none.fl_str_mv | 10.57945/manara.25709358.v1 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/conference_contribution/Suspected_Adnexal_Torsion_in_Qatar_Symptomatology_Reliability_in_Diagnosis_and_Management/25709358 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Reproductive medicine Adnexal torsion Abdominal pain Ovarian mass Emergency presentation Vaginal bleeding Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |
| dc.title.none.fl_str_mv | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management |
| dc.type.none.fl_str_mv | Text Conference contribution info:eu-repo/semantics/publishedVersion text conference object |
| description | <h3>Background</h3><p dir="ltr">In Qatar, primary presentation of acute abdominal pain with most women is to the Emergency Department. Adnexal torsion is a rare time limiting surgical emergency with severe reproductive health consequences characterised by such a presentation, and firm diagnosis requires direct visualization at surgery.1 Accurate, timely diagnosis of adnexal torsion is crucial to predict the need for surgery and prevent complications, however information on signs and symptomatology reliability is limited in the medical literature. There is currently no relevant reported data from Qatar.</p><h3>Methods</h3><p dir="ltr">This study aimed to assess symptomatology reliability in prediction of surgically proven cases of suspected adnexa torsion presenting to Al Wakra Hospital in Qatar. A database review was conducted of all women with suspected adnexal torsion presenting to the Emergency Departments between 1st January 2017 and 31st December 2022. Clinical data were assessed following a literature review. Sensitivity, specificity and predictive estimates were calculated for each parameter with 95% confidence intervals (CI) included. </p><h3>Results</h3><p dir="ltr">Among 58 suspected cases, 39 (67.24%) were subsequently confirmed as adnexal torsion. The predominating symptomatology was: acute abdominal pain associated with vomiting, abdominal guarding, mass, and tenderness (Figure 1). Tachypnoea was absent in all suspected cases (Table 1). Abdominal tenderness had a very high sensitivity, 99.2% (CI 97.6-99.8%) and positive predictive value, 96.0% (CI 95.1-96.8), while the absence of vaginal bleeding showed a high specificity, 100% (CI 82.4-100%).</p><h3>Conclusion</h3><p dir="ltr">Emergency room presentation and triage of cases with suspected adnexal torsion for surgery can be improved using these study findings. The wide confidence intervals in some parameters reflects the wide variation in clinical presentation and current diagnostic uncertainty.3 It is interesting that tachypnoea does not appear to be a feature in our population while abdominal tenderness is a strong predictor especially when linked with absence of vaginal bleeding.</p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_d3db77bde3cbbbcbda3a51b02d108e6e |
| identifier_str_mv | 10.57945/manara.25709358.v1 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25709358 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and ManagementMorounfolu Thompson (17045472)Sufia Athar (14777830)Rafael Gonzalez Olubunmi Oniya (18507536)Naglaa Mohamed (1378089)Yehia El Khawly (18466100)Kholode Al Maslamani (18507539)Lolwa Al Ansari (18466227)Biomedical and clinical sciencesClinical sciencesReproductive medicineAdnexal torsionAbdominal painOvarian massEmergency presentationVaginal bleedingQatar Health Congress 2023 and the 3rd Qatar Public Health Conference<h3>Background</h3><p dir="ltr">In Qatar, primary presentation of acute abdominal pain with most women is to the Emergency Department. Adnexal torsion is a rare time limiting surgical emergency with severe reproductive health consequences characterised by such a presentation, and firm diagnosis requires direct visualization at surgery.1 Accurate, timely diagnosis of adnexal torsion is crucial to predict the need for surgery and prevent complications, however information on signs and symptomatology reliability is limited in the medical literature. There is currently no relevant reported data from Qatar.</p><h3>Methods</h3><p dir="ltr">This study aimed to assess symptomatology reliability in prediction of surgically proven cases of suspected adnexa torsion presenting to Al Wakra Hospital in Qatar. A database review was conducted of all women with suspected adnexal torsion presenting to the Emergency Departments between 1st January 2017 and 31st December 2022. Clinical data were assessed following a literature review. Sensitivity, specificity and predictive estimates were calculated for each parameter with 95% confidence intervals (CI) included. </p><h3>Results</h3><p dir="ltr">Among 58 suspected cases, 39 (67.24%) were subsequently confirmed as adnexal torsion. The predominating symptomatology was: acute abdominal pain associated with vomiting, abdominal guarding, mass, and tenderness (Figure 1). Tachypnoea was absent in all suspected cases (Table 1). Abdominal tenderness had a very high sensitivity, 99.2% (CI 97.6-99.8%) and positive predictive value, 96.0% (CI 95.1-96.8), while the absence of vaginal bleeding showed a high specificity, 100% (CI 82.4-100%).</p><h3>Conclusion</h3><p dir="ltr">Emergency room presentation and triage of cases with suspected adnexal torsion for surgery can be improved using these study findings. The wide confidence intervals in some parameters reflects the wide variation in clinical presentation and current diagnostic uncertainty.3 It is interesting that tachypnoea does not appear to be a feature in our population while abdominal tenderness is a strong predictor especially when linked with absence of vaginal bleeding.</p>2024-05-26T08:57:03ZTextConference contributioninfo:eu-repo/semantics/publishedVersiontextconference object10.57945/manara.25709358.v1https://figshare.com/articles/conference_contribution/Suspected_Adnexal_Torsion_in_Qatar_Symptomatology_Reliability_in_Diagnosis_and_Management/25709358CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257093582024-05-26T08:57:03Z |
| spellingShingle | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management Morounfolu Thompson (17045472) Biomedical and clinical sciences Clinical sciences Reproductive medicine Adnexal torsion Abdominal pain Ovarian mass Emergency presentation Vaginal bleeding Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |
| status_str | publishedVersion |
| title | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management |
| title_full | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management |
| title_fullStr | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management |
| title_full_unstemmed | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management |
| title_short | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management |
| title_sort | Suspected Adnexal Torsion in Qatar – Symptomatology Reliability in Diagnosis and Management |
| topic | Biomedical and clinical sciences Clinical sciences Reproductive medicine Adnexal torsion Abdominal pain Ovarian mass Emergency presentation Vaginal bleeding Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |