Multimodality imaging findings of massive ovarian edema in children

Dahmoush, Hisham; Anupindi, Sudha A.; Pawel, Bruce; Chauvin, Nancy A.

doi:10.1007/s00247-017-3782-4

Cited by 13 publications

(19 citation statements)

References 21 publications

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“…Very rarely, particularly following menarche, torsion and spontaneous detorsion can occur before ischemia develops (70,71). This condition can manifest more indolently, but there is a risk of further episodic torsion and detorsion, which can cause tumor-like edematous enlargement of the ovary, referred to as massive ovarian edema.…”

Section: Massive Ovarian Edemamentioning

confidence: 99%

Adnexal Torsion: Review of Radiologic Appearances

et al. 2021

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Section: Massive Ovarian Edemamentioning

confidence: 99%

Adnexal Torsion: Review of Radiologic Appearances

et al. 2021

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“…Imaging studies are the most important when evaluating a pelvic mass [ 42 ]. Ultrasonography is the first-line diagnostic assessment.…”

Section: E Valuation and Diagnosismentioning

confidence: 99%

A review of ovary torsion

2017

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Ovarian torsion is a rare but emergency condition in women. Early diagnosis is necessary to preserve the function of the ovaries and tubes and prevent severe morbidity. Ovarian torsion refers to complete or partial rotation of the adnexal supporting organ with ischemia. It can affect females of all ages. Ovarian torsion occurs in around 2%–15% of patients who have surgical treatment of adnexal masses. The main risk in ovarian torsion is an ovarian mass. The most common symptom of ovarian torsion is acute onset of pelvic pain, followed by nausea and vomiting. Pelvic ultrasonography can provide information on ovarian cysts. Once ovarian torsion is suspected, surgery or detorsion is the mainstay of diagnosis and treatment.

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“…Massive ovarian edema most often affects females in the second and third decades, although it can occur at any age [5]. It is hypothesized that partial recurrent torsion of the mesovarium impedes ovarian venous and lymphatic drainage resulting in stromal edema while the arterial supply of the ovary is preserved, maintaining viability [5]. However, cases without torsion have also been reported [6].…”

Section: Etiology and Demographicsmentioning

confidence: 99%

Massive ovarian edema mimicking an ovarian neoplasm in a patient with IVC web

et al. 2022

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Massive ovarian edema is an uncommon benign condition affecting young females predominantly those in the child bearing age group and preadolescent girls. Its clinical and radiologic overlap with ovarian neoplasms and torsion which require surgical intervention makes it imperative for the radiologist to consider this entity preoperatively as preserving fertility is vital in this young age group. We report a case of massive ovarian edema, a rare presentation in a patient with inferior vena cava web and consequent Budd Chiari Syndrome, an association previously unreported in literature.

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Multimodality imaging findings of massive ovarian edema in children

Abstract: While the clinical presentation of massive ovarian edema is nonspecific, an enlarged ovary with stromal edema, peripherally placed follicles and preservation of blood flow may be suggestive and wedge biopsy should be considered intraoperatively to avoid unnecessary removal of the ovary.

Cited by 13 publications

References 21 publications

Adnexal Torsion: Review of Radiologic Appearances

Adnexal Torsion: Review of Radiologic Appearances

A review of ovary torsion

Massive ovarian edema mimicking an ovarian neoplasm in a patient with IVC web

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