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Background: Ovarian torsion is an acute phenomenon with a highly variable clinical presentation. Ovarian torsion composite index is an attempt to  diagnose ovarian torsion in suspected patients more accurately and thus timely intervention.

Aims and Objectives: The aim of this study is to determine the diagnostic efficacy of a hypothesized practical scoring system, known as Ovarian torsion composite index in management of ovarian torsion.

Materials and Methods: A cross-sectional study evaluating 78 patients with ovarian mass attending Obstetrics and Gynaecology department of Assam medical college and hospital, Dibrugarh was conducted from August 2021 to July 2022. Four parameters of Ovarian torsion composite index – Duration of Pain, Presence of nausea or vomiting, Ovarian volume and Ovarian ratio were assessed in these patients and compiled to calculate total OT-CI score.

Results: Four factors were found to be independently associated with ovarian torsion- Duration of pain, Nausea or vomiting, Ovarian volume and Ovarian ratio. There were no cases of Ovarian torsion in patients with OT-CI scores ≤3. Patients with OT-CI score >6 had 62.5% sensitivity, 99.57% specificity and 94.87% accuracy.

Conclusion: Ovarian torsion composite index is a practical scoring system combining clinical and radiological findings to preoperatively predict Ovarian torsion in patients presenting with ovarian mass. An OT-CI ≤3 is strong evidence against ovarian torsion, thus minimizing surgical intervention. On the contrary, an OT-CI score >6 is a predictor of ovarian torsion and thus scores >6 should be considered for surgical exploration to maximize ovarian salvage.


Ovarian torsion surgical exploration ovarian salvage

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