Presentation
Acute pelvic pain. No bleeding per vaginum.
Patient Data
Age: 40 years
Gender: Female
From the case:
Ovarian torsion with hematosalpinx
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Multiple uterine fibroids are seen.
Left ovary is enlarged with an ~6x5.5cm sized cyst showing some T2 hypointense contents in dependant part (seen on posterior coronal sections on T2 & STIR images).
The left fallopian tube is enlarged and appears twisted with focal cystic dilatation with T2 hypointense fluid level in dependant part.
Features suggestive of left ovarian torsion with left hematosalpinx.
A simple cyst is seen in the right ovary.
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Procedure: Hysterectomy with left salpingo-oophorectomy.
Operative findings:
- left ovarian hemorrhagic cyst with two loops of torsion
- left hematosalpinx
- simple cyst in right ovary
- normal right fallopian tube
- uterine fibroids
Case Discussion
Left ovarian torsion with hematosalpinx.
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