Role of Preoperative D-dimer Levels in the Diagnosis of Adnexal Torsion

Launched by IRCCS BURLO GAROFOLO · Mar 21, 2024

Keywords

ClinConnect Summary

This clinical trial is studying the role of a specific blood test, called D-dimer levels, in helping to diagnose a condition known as adnexal torsion. Adnexal torsion is a serious emergency that occurs when an ovary or fallopian tube twists, cutting off its blood supply. This often leads to sudden abdominal pain, which can be accompanied by nausea and vomiting. The trial is focused on female patients under 18 years old who are experiencing pain in their lower abdomen and have imaging tests that suggest they may have this condition.

If eligible, participants will undergo some tests and may have a procedure called diagnostic laparoscopy, which involves looking inside the abdomen with a camera to confirm the diagnosis. The study is important because diagnosing adnexal torsion can be challenging, and finding better ways to identify it quickly can help in providing timely treatment. The trial is currently recruiting participants, and families should know that involvement in the study may help improve care for future patients with similar symptoms.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Female patients
• • Age \< 18 years
• • presenting with lower quadrants abdominal pain
• • Imaging suspicious for adnexal torsion
• Exclusion Criteria:
• • Female patients aged \> 18 years
• • Previous surgery for adnexal pathologies
• • Clinical symptoms and imaging suggesting a different surgical pathology (i.e., appendicitis, gastroenteritis)