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Citation:
Khader.O.Thabet M, Rizk M, Baba Y, et al. Kissing ovaries sign. Reference article, Radiopaedia.org (Accessed on 21 Sep 2024) https://doi.org/10.53347/rID-65296
The kissing ovaries sign refers to the appearance seen when both ovaries are located in close proximity or are touching each other in the pouch of Douglas, usually due to pelvic adhesions, and may be seen on ultrasound, CT or MRI.
This sign is most frequently associated with the severe form of pelvic endometriosis, in which repeated bleeding causes adhesions with pulling of the ovaries toward the midline but can also be seen in pelvic inflammatory disease that presents with pyosalpinx/pelvic abscess, nevertheless, MRI can differentiate between the two conditions.
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1. Jagannathan Kokilavani, Venkatraman Indiran. Kissing ovaries sign on MRI. (2018) Abdominal Radiology. 43 (10): 2880. doi:10.1007/s00261-018-1531-2 - Pubmed
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2. Ghezzi F, Raio L, Cromi A, Duwe DG, Beretta P, Buttarelli M, Mueller MD. "Kissing ovaries": a sonographic sign of moderate to severe endometriosis. (2005) Fertility and sterility. 83 (1): 143-7. doi:10.1016/j.fertnstert.2004.05.094 - Pubmed
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3. Moyle PL, Kataoka MY, Nakai A, Takahata A, Reinhold C, Sala E. Nonovarian cystic lesions of the pelvis. (2010) Radiographics : a review publication of the Radiological Society of North America, Inc. 30 (4): 921-38. doi:10.1148/rg.304095706 - Pubmed
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