Presentation
Severe left sided pelvic pain
Patient Data
Large predominantly T2 hypointense lesion, measuring approx. 53 x 77 x 71mm (AP x TD x CC) is seen in the pelvis in the midline, extending towards the right side and occupying the pouch of Douglas. The lesion contains cystic/necrotic and hemorrhagic areas within. Multiple tiny cysts are seen at its periphery, possibly representing ovarian follicles. It is displacing the uterus towards the right side, indenting the urinary bladder anteriorly and right ovary right laterally.
Tortuous structure is seen at left lateral aspects of above mentioned lesion, likely twisted vascular pedicle. Small volume free fluid in the abdomen.
Case Discussion
Left ovarian torsion with twisted vascular pedicle seen in left adnexa. The cysts seen within torsed ovary may be the underlying cause of torsion.
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