Ovarian torsion

Case contributed by Assis Prof Faeze Salahshour

Presentation

Acute LLQ pain and tenderness

Patient Data

Age: 70 years
Gender: Female
CT

A large solid mass containing small cysts is noted on the left side of the lower abdomen, with a whirled pedicle at the left adnexa, representing a torsed congested left ovary. For evaluation of the presence of a mass in the torsed ovary, ultrasound and MRI are more valuable than CT scans. Mild ascites, several renal cysts, one with rim calcification in the lower pole of the right kidney, and a right renal angiomyolipoma are other findings.

Photo

The photo of the report of pathology shows that the left torsed ovary contains a fibroma.

Case Discussion

Whirlpool sign is in favor of torsion. For evaluation of ovarian lesions, MRI and ultrasound are more valuable than  CT scans.

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