Presentation
Left lower abdominal pain three days ago.
Patient Data
The left ovary appears enlarged with heterogeneous stroma and multiple peripherally placed follicles, it is showing diffusion restriction, and diffuse blooming artifact associated with free fluid, surrounding fat stranding, and twisted left pedicle.
After contrast administration, the left ovarian parenchyma is not enhanced, apart from a thin rim of peripheral enhancement.
The uterus appears compressed by the enlarged left ovary.
The right ovary appears unremarkable.
Case Discussion
Features are highly suggestive of left ovarian torsion with evidence of hemorrhagic infarction, regarding the MRI findings.
DWI can help in the early diagnosis and treatment of ovarian ischemia to prevent potential complications1.
Lower ADC levels caused by hemorrhagic infarction compared with non-hemorrhagic infarction1.
In addition, the presence of blooming artifacts in gradient images gives supportive evidence for hemorrhage.