Abstract
Introduction: Gynecological emergencies are conditions that are frequently encountered every day and can account for high morbidity and mortality rates. Ectopic pregnancy, tuboovarian abscess, ruptured ovarian cysts, and adnexal torsion are common gynecological diseases that require an emergency surgical approach.
Materials and Methods: Our retrospective study was conducted by examining the records of patients between the ages of 18-55 who applied to Prof. Dr. Cemil Taşçıoğlu City Hospital emergency department between January 1, 2017, and December 31, 2020. A total of 464 patients who were treated surgically with laparotomy or laparoscopic approaches were included in our study.
Results: The mean age of all patients was 32.28±8.25 years. 79.74% of the patients were under the age of 40, and our patients were operated on for ruptured ectopic pregnancy (50.64%), ruptured ovarian cyst (20.25%), ovarian torsion (12.71%), and tuboovarian abscess (16.37%), while 23.49% of the patients required blood transfusions. The mean initial β-hCG concentration was 3346 mIU/ml in ectopic pregnancy. The hospital stay was observed to be significantly longer in cases with tuboovarian abscesses. Salpingectomy was the most common surgical operation performed in all cases.
Conclusion: Gynecological emergencies have an important place in admissions to the emergency departments. Early diagnosis and treatment both reduce the morbidity and mortality of the patients and are important for preserving their fertility status in the later stages of their lives.

Key words: Adnexal torsion, ectopic pregnancy, gynecological emergency, ruptured ovarian cysts , tubo-ovarian abscess