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D efinition — Mechanical interruption of the adnexal arterial and/or venous blood flow by mechanical factors.
Rare (reported in as few as 1 in every 1.5 million women), can occur at any age but usually in reproductive-age women.
Most commonly seen with pregnancy, hydrosalpinx, ovarian cysts, tubal ligation, and benign tumors.
Uncommonly associated with malignancies.
Caused by rotation on the vascular pedicle. Fallopian tube and ovary can torse together or individually via rotation of the mesosalpinx and mesovarium, respectively.
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