Presentation
No relevant previous history. Severe pain in the right lower abdomen with vomiting. No fever.
Patient Data
Age: 10 years
Gender: Female
From the case:
Ovarian torsion with twisted pedicle (ultrasound)
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/42992/annotated_viewer_json?lang=us"}
There is an enlarged right ovary located in the midline of the abdomen, just behind the uterus. There is a complex cystic lesion within this right ovary with a component that contains multiple echogenic lines and dots (dot-dash sign) representing hair in fluid. This is considered a characteristic sonographic sign of (mature) ovarian teratoma/dermoid. The video clip nicely shows the twisted pedicle and fallopian tube.
Case Discussion
Right ovarian torsion was confirmed during surgery. The pathological specimen demonstrated a mature cystic teratoma (including hair in cyst)
Unable to process the form. Check for errors and try again.