DOI: 10.36347/sjams.2019.v07i02.089

Pages: 852-855

Acute pain abdomen in the reproductive age group women is a relatively common condition with various gynecological and non-gynecological etiological factors. Among the gynecological causes, Torsion of adnexa of the uterus is relatively common. Methods: This study was carried out in the Department of Obstetrics and Gynaecology, Kalinga Institute of Medical Sciences and hospital Bhubaneswar, Odisha. Inclusion criteria were women of reproductive age group, post tubal ligated women, those with acute abdominal pain diagnosed by USG. Exclusion criteria were pain abdomen caused by Non-gynecological causes as diagnosed by ultrasonography, women without permanent tubal ligation. In the study n=20 cases with acute abdominal pain. A detailed history was obtained including the duration of married life, parity, duration of tubal ligation, type of pain, its radiation, localization were established. A complete clinical examination was done. Patients underwent USG for diagnosis and these patients underwent Laparoscopic surgery and the intra-operative findings of each patient were recorded. Results: During the study period 20 cases were detected the age range was from 29-40 years the average age was 33.06 ± 2.89 years. The duration of married life was 7 -14 years and an average was 9.9 ± 2.15 years. The parity range was from 2-4 in most of the cases. Most of the cases were diagnosed as Hydrosalpinx in 10 cases, cystic adnexal masses, 1 simple ovarian cyst, 1 case of paraovarian cyst and 2 chocolate cysts were found postoperative adhesions were found in 2 cases ruptured corpus luteum was found in 1 case. Conclusion: Within the limitations of the present study it can be concluded that acute abdominal pain in women with a history of tubal ligation should arise a high degree of suspicion of torsion hydrosalpinx or hematosalpinx.