Ovarian torsion

Case contributed by Dr Dalia Ibrahim

Presentation

Presented to the ER with lower abdominal pain and vomiting for 10 days. The patient was a virgin.

Patient Data

Age: 20 years
Gender: Female
CT

Markedly enlarged right ovary which is centrally located in the pelvis posterior to the uterus. It appears non-enhancing with few peripheral cysts (representing ovarian follicles) and a large cyst seen along its anterior pole (which could represent the lead point). 

Engorged vessels on the right twisted side, and right fallopian tube thickening & swirling.

Anterior and rightward uterine deviation. Normal left ovary.

MRI

Markedly enlarged right ovary which is centrally located in the pelvis posterior to the uterus. It shows heterogeneous signal with few peripheral cysts (representing ovarian follicles) and a large cyst seen along its anterior pole (which could represent the lead point). It shows a heterogeneous center with central areas of break down and hemorrhage.

Twisted engorged vessels on the right adnexa.

Case Discussion

The girl was taken immediately to the operating room which confirmed right ovarian torsion. She underwent right salpingo-oophorectomy.

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Case information

rID: 77788
Published: 21st May 2020
Last edited: 27th Dec 2020
System: Gynaecology
Inclusion in quiz mode: Included

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