Ovarian endometriomas (kissing ovaries sign)


MRI appearances of bilateral ovarian endometriomas with a kissing ovaries sign.

The kissing ovaries sign is most frequently seen in the severe form of pelvic endometriosis, The repeated bleeding causes adhesions with pulling off the ovaries toward the midline. It may be seen in pelvic inflammatory disease such as pyosalpinx and pelvic abscess.

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