A retrospective analysis of patients referred from the emergency department to the obstetrics and gynecology clinic for gynecological reasons in the last five years

In this study, patients who were consulted from the emergency department to the obstetrics and gynecology clinic for gynecological reasons over the last five years were retrospectively evaluated, and the study was initiated with the approval of the Ethics Committee of Eskişehir Osmangazi University Faculty of Medicine dated February 11, 2025, and numbered 80. A total of 606 patients were, and the mean age was 37,55±14,94 years. BT was performed in 41.1% of the patients in the emergency department for triage purposes. The most common diagnosis were cyst rupture and AVK, accounting for 35.1% (n=213) and 13.1% (n=79) of the cases, respectively. Abnormal findings were detected in 91.3% of the patients on USG, with simple cystic structures in the right ovary being the most common. A statistically significant difference was found between hospitalized patients and those who refused in terms of control Hgb, CRP, and Bhcg values (p<0.05). The mean hospital stay was 1.59±3.80 days. When TOA/PID, ectopic pregnancy, cyst rupture, and adnexal torsion cases were compared, the TOA/PID group had statistically significantly higher mean age, hospital stay, and WBC values compared to other groups. Surgical was applied in 102 patients (16.8%), and the most frequently used method was laparotomy. The most common surgical indication was adnexal torsion (p<0.001), and the most frequently performed procedure was right salpingo-oophorectomy. The Hgb level of patients admitted due to AVK was measured as a median of 11 g/dL (min 4.3 - max 16.3), and 79 patients received erythrocyte suspension transfusion. In conclusion, it was determined that diagnostic and treatment approaches in gynecological emergencies show disease-specific differences, and that laboratory and imaging methods are of critical importance for early diagnosis and appropriate management in infectious and surgical emergencies in terms of patient prognosis. Keywords: Emergency Department, Gynecological Emergencies, Clinical Characteristics, Computed Tomography, Ultrasonography