Adnexal torsion.

A series of 128 cases of adnexal torsion and an additional 97 cases where the preoperative diagnosis of torsion was incorrect are reviewed. The diagnosis is uncertain and surgical intervention is likely to be delayed. The adnexa are seldom salvaged despite the fact that torsion infrequently involves a malignant neoplasm. Laparoscopy is an effective means of reducing the number of necessary laparotomies when a diagnosis of torsion is uncertain.