Ovarian torsion

Case contributed by Dr Mohammad Eisa

Presentation

Lower abdominal pain for 2 days.

Patient Data

Age: 11 years
Gender: Female
Ultrasound

US positive findings of ovarian torsion:

  • Enlarged right ovary (compared to the left ovary)  with peripherally displaced follicles with hyperechoic central stroma.
  • Absent right ovarian Doppler flow with normal flow in left ovary.
  • Enlarged and twisted right vascular pedicle (whirlpool sign).
  • Mild free pelvic fluid.

Case Discussion

Laparoscopy after a few hours has confirmed an infarcted ovary with clots.

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Case information

rID: 68354
Published: 30th May 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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