Ovarian torsion with dermoid cyst

Case contributed by Dr Andrew Dixon

Presentation

Severe lower abdominal pain.

Patient Data

Age: 25
Gender: Female
Ultrasound

Ultrasound images show many of the features of ovarian torsion. The ovary is distended, there is absent doppler flow and there is some adjacent free fluid.  The ovary also contains a 4cm dermoid cyst with an echogenic 'dermoid plug'.  

Case Discussion

This ultrasound case shows many of the typical features of ovarian torsion. The ovary is distended, there is absent doppler flow and there is some adjacent free fluid.  The ovary also contains a 4cm dermoid cyst with an echogenic 'dermoid plug'.  Around 50% of torsions occur in ovaries which contain a lesion and around 50% of these are dermoid cysts.

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Case information

rID: 9542
Case created: 28th Apr 2010
Last edited: 9th Jul 2017
System: Gynaecology
Tags: ovary, dermoid
Inclusion in quiz mode: Included

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