Importance of inflammatory markers in ovarian torsion

Abstract

Introduction: Early diagnosis is important for the preservation of ovarian function and fertility after ovarian torsion. In this study, we aimed to investigate the usability of inflammatory markers in the diagnosis of ovarian torsion. Methods: Data of 120 patients who had been operated for ovarian torsion (60) and benign adnexal mass (60) between 2013 and 2019 were analyzed retrospectively. The final C-reactive protein (CRP) value and hemogram parameters of the patients in the preoperative period were recorded. Laboratory and clinical comparisons were made between both groups. Results: When the torsion group and the control group were compared, neutrophil/lymphocyte ratio (NLR), platelet/lympho cyte ratio (PLR), white blood cell (WBC), and CRP values were found to be statistically higher in the torsion group (p=0.000, p=0.003, p=0.000, p=0.028). When the cutoff value for NLR was >2.95, sensitivity was 79.2%, specificity was 90.3%, when the cutoff value was >169.7 for PLR, the sensitivity was 49.0%, and specificity was 84.6%. For WBC >8.58, sensitivity and specificity were 73.58% and 78.85%, respectively, and for CRP >0.47, sensitivity and specificity were 90.6% and 88.5%, respectively. Discussion and Conclusion: According to the results of this study, these markers can be used as inflammatory markers in the diagnosis of ovarian torsion.