Ovarian torsion with twisted pedicle

Case contributed by Dr Andrew Dixon

Presentation

A 45 year old female presented with left abdominal pain. Clinicians suspected renal colic and a non-contrast CT was performed.

Patient Data

Age: 45
Gender: Female

CT shows no ureteric stone, but does show a 5cm cyst above the bladder with an associated tubular structure in the left adnexal region.  Ovarian torsion (adnexal torsion) was suspected and pelvic ultrasound was advised. 

Ultrasound

US showed the cyst to be within the ovary and the tubular structure to represent a distended twisted vascular pedicle and fallopian tube. There was abnormal arterial flow within the ovary with absent diastolic flow. 

Case Discussion

Adnexal torsion was confirmed at surgery and the ovary survived.   

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Case information

rID: 9576
Case created: 1st May 2010
Last edited: 25th Feb 2017
System: Gynaecology
Inclusion in quiz mode: Included

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