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Record W2888117213 · doi:10.1089/gyn.2018.0023

Bilateral Massive Ovarian Edema Due to Chronic Torsion Treated with Conservative Laparoscopic Approach

2018· article· en· W2888117213 on OpenAlexaff
Shahine Goulam-Houssein, H Husslein, Eliane M. Shore, Guylaine Lefebvre, Paraskevi A. Vlachou

Bibliographic record

VenueJournal of Gynecologic Surgery · 2018
Typearticle
Languageen
FieldMedicine
TopicOvarian cancer diagnosis and treatment
Canadian institutionsSt. Michael's Hospital
Fundersnot available
KeywordsMedicineSurgeryOvarian torsionConservative treatmentEdemaWedge resectionLower abdominal painOophorectomyLaparoscopyResectionHysterectomy

Abstract

fetched live from OpenAlex

Background: Massive ovarian edema (MOE) is a rare benign condition causing enlargement of the ovaries by edema fluid. The risk for women suffering from MOE is that the ovaries are removed as they can be mistaken for tumors, which can then potentially result in premature menopause. However, wedge resection and/or ovaropexy is now the treatment of choice. Case: A 28-year-old nulliparous patient experienced 8 years of episodic abdominal pain due to intermittent ovarian torsion resulting in bilateral MOE. Results: The patient was treated successfully with conservative surgery involving ovarian detorsion and bilateral ovaropexy. Her symptoms resolved and follow-up ultrasound showed a dramatic reduction in bilateral ovarian sizes. Conclusions: MOE, due to chronic torsion, can be treated with a conservative laparoscopic approach, obviating the need for oophorectomy or wedge resection.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.006

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0010.001
Scholarly communication0.0000.001
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.029
GPT teacher head0.272
Teacher spread0.244 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2018
Admission routes1
Has abstractyes

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