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During the postoperative period there were three superficial wound infections, all of [http://www.selleckchem.com/products/plerixafor-8hcl-db06809.html click here] them responded with antibiotics. A 16-year-old girl who was a known case of Kartageners syndrome died on second postoperative day after salpingo ophorectomy done for teratoma with extensive hemorrhagic necrosis. As the time interval between symptoms to surgery is prolonged, the rate of ovarian conservation is reduced [26]. The time interval from admission to the surgery in our patients was 24h (median) and 38 cases (54.3%) had conservative surgery. In a study of ovarian torsion in children, the time interval was 20.75 h (median) and 80.4 % of cases were treated conservatively [24][Table/Fig-8]. Even though an ovary has undergone hemorrhagic necrosis, it regains ovarian function as demonstrated by presence of follicles in sonography [27]. Out of the 5 cases we had on follow up of 6 months to 2 years, 4 had follicles and 1 ovary with no blood flow [Table/Fig-10].Traditionally, necrotic appearance has been synonymous of oophorectomy; however current trend depends ovary preservation [27]. [Table/Fig-10]: Follow [http://www.selleckchem.com/products/ci994-tacedinaline.html Tacedinaline nmr] of necrosed ovaries which were preserved Conclusion Diagnosis of ovarian torsion is a difficult task which requires good clinical awareness. High index of clinical suspicion is the most important factor in diagnosing adnexal torsion. Ultrasound with Doppler helps in diagnosing adnexal mass with torsion. Laparoscopy is not only useful for diagnosis but also for treating torsion with less morbidity. Conservative surgery is preferred for patients in the reproductive age group. Notes Financial or Other Competing Interests None.Background: Early intervention and appropriate treatment in patients with GDM will help in preventing the adverse maternal and [https://en.wikipedia.org/wiki/Cilengitide Cilengitide] fetal outcome and protect them from long term complications. Several studies have shown the association of hyperuricemia with GDM. This study was undertaken to find out the association of elevated first trimester uric acid with development of GDM. Materials and Methods: This prospective observational study was conducted in Mahatma Gandhi Medical Collage and Research Institute, Pondicherry, India, between November 2010 and May 2012. A total of 70 pregnant women were included and parameters like age, parity, BMI, history of DM, serum uric acid at