Ovarian torsion

Case contributed by Dr Ali Abougazia

Presentation

Severe pelvic pain.

Patient Data

Age: 16
Gender: Female
Modality: Ultrasound

The left ovary is hugely enlarged measuring 13 X 6.5 cm, pushing the uterus anteriorly and to the right side. It shows echogenic echopattern. No evidence of color flow seen inside. It’s surrounded by clear mild amount of fluid collection.

Modality: MRI

The left ovary is very large measuring 13 X 6.5 cm, pushing the uterus anteriorly and to the right side. It is hyperintense signal in all signals with multiple small follicles inside.  It is surrounded by clear mild amount of fluid collection.

Case Discussion

Features are consistent with left sided ovarian torsion, with striking enlargement of the ovary. 

Case is courtesy of Dr. Anas Abd El-Azim

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Case Information

rID: 23154
Case created: 25th May 2013
Last edited: 24th Feb 2016
System: Gynaecology
Inclusion in quiz mode: Excluded

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