Kissing ovaries sign

Kissing ovaries sign means both ovaries are located in close proximity or are touching each other in the pouch of Douglas, usually due to pelvic adhesions, and is usually seen on ultrasound or MRI.

This sign is usually associated with pelvic endometriosis due to repeated bleeding causes adhesions and pulling of 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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Article information

rID: 65296
System: Gynaecology
Section: Signs
Synonyms or Alternate Spellings:

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Cases and figures

  • Case 1: endometriosis
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