Ovarian Torsion Surgery in a Tertiary Referral Center: Clinical, Laboratory, and Operative Associations

Aim:Ovarian torsion is a gynecological emergency that can lead to adnexal ischemia and tissue loss if not promptly treated. This study aimed to describe the clinical, laboratory, imaging, and surgical characteristics of patients undergoing surgery for ovarian torsion in a tertiary care center and to explore associations between selected laboratory and sonographic findings and histopathologic necrosis and surgical outcomes.Materials and Methods:This retrospective study included 40 patients who underwent surgical treatment for ovarian torsion between November 2023 and February 2025 at a tertiary referral center. Demographic characteristics, presenting symptoms, laboratory parameters, ultrasonographic findings, operative details, and histopathological results were reviewed. Doppler ultrasonography was used to assess ovarian blood flow. Associations between torsion degree, inflammatory markers, Doppler findings, and surgical outcomes were evaluated using univariate and correlation analyses.Results:Most patients were of reproductive age (90%), and adnexal masses were present in 55% of cases. Absent Doppler flow was observed in 60% of patients. Histopathological evaluation, available in half of the cohort, demonstrated necrotic ovarian tissue in 40%. Higher torsion degree was associated with increased C-reactive protein levels, higher necrosis rates, and a greater frequency of laparotomy (p < 0.05). Elevated CRP levels and the presence of necrosis were moderately correlated with longer hospital stay.Conclusion:In this tertiary center experience, torsion severity, elevated inflammatory markers, and absent Doppler flow were associated with adnexal necrosis and more extensive surgical management. These parameters may reflect disease severity in ovarian torsion. Further prospective studies are needed to confirm these findings.