Right ovarian torsion

Case contributed by Omar Bazzaz
Diagnosis certain


Lower abdominal pain with irregular menstrual cycle.

Patient Data

Age: 16 years
Gender: Female

Enlarged posteriorly located right ovary measuring 4 x 5 x 6 cm, displacing the uterus anteriorly, with a peripheral rim of restricted diffusion and no contrast enhancement. Right adnexal cyst measuring 4 x 5 cm.
Whirlpool sign seen at the pedicle.

Left ovary of normal size and outline, showing normal contrast enhancement.

Case Discussion

Surgically proven right ovarian torsion with infarction.

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