Ovarian torsion with hematosalpinx

Case contributed by Dr Suresh Babu Boddapati

Presentation

Acute pelvic pain. No bleeding per vaginum.

Patient Data

Age: 40 years
Gender: Female

Multiple uterine fibroids are seen.

Left ovary is enlarged with an ~6x5.5cm sized cyst showing some T2 hypointense contents in dependent 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 dependent part. 

Features suggestive of left ovarian torsion with left hematosalpinx.  

A simple cyst is seen in the right ovary. 

Photo

Intraoperative images

Procedure: Hysterectomy with left salpingo-oophorectomy. 

Operative findings:

  1. left ovarian hemorrhagic cyst with two loops of torsion
  2. left hematosalpinx 
  3. simple cyst in right ovary 
  4. normal right fallopian tube
  5. uterine fibroids 

Case Discussion

Left ovarian torsion with hematosalpinx.

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Case information

rID: 78638
Published: 7th Jun 2020
Last edited: 19th Jun 2020
System: Gynaecology
Inclusion in quiz mode: Excluded
Institution: NRIIMS Visakhapatnam