Ovarian torsion

Case contributed by Dr Dalia Ibrahim

Presentation

22-year-old virgin female complains of right iliac pain since 3 days.

Patient Data

Age: 22-year-old
Gender: Female
CT

Enlarged right ovary which is centrally located in the pelvis with no central enhancement and multiple peripheral cysts (representing ovarian follicles) & giving the "string of pearls" appearance and a large cyst seen along its lower pole (which could represent the lead point). 

Deviation of the uterus to the side of the twist, engorged vessels on the right twisted side, and right fallopian tube thickening & swirling.

Indistinct left ovary.

Small sized hypoplastic right kidney with compensatory hypertrophy of the left kidney.

Gallbladder stone.  

Power Doppler sonogram shows complete absence of blood flow in the enlarged torsed right ovary (not shown)

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Case information

rID: 38064
Case created: 2nd Jul 2015
Last edited: 29th Nov 2015
System: Gynaecology
Inclusion in quiz mode: Included

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