OP11.06: Role of 3D power Doppler in early diagnosis of massive ovarian edema due to incomplete torsion of a simple ovarian cyst

Abstract

Short oral presentation abstracts endometrioid heterotopias. Infiltrate presence was identified as a hyperechoic area near external contour of the muscle bulge. During further observation under lukrine-depo treatment the decrease and consolidation were noticed only in infiltration hyperechoic part, the muscle sickness though remained without changes. Conclusions:The involved intestine muscle thickening should be regarded as compensatory reaction for mucous membrane and intestine lumen isolation from pathologic process. The ultrasound examination makes visualization possible even in endometrioid heterotopias. OP11.06Role of 3D power Doppler in early diagnosis of massive ovarian edema due to incomplete torsion of a simple ovarian cyst H. Gaafar, M. Momtaz, I. Ali Cairo University Fetal Medicine Unit, Cairo, EgyptA virgin 23 years, presented to emergency unit at Cairo University Hospital complaining from severe right sided pelvic pain, irrelevant medical history, with regular cycles, at day 14. The pain started 12 hours ago stabbing in nature with vomiting and fainting, TLC was normal so as her urine analysis. By examination a tender cystic right sided mobile adnexal mass was noted nearly measuring 15 cm in average. When level one scan was performed, the report described a partially solid, partially cystic adnexal mass and advised to do a CT scan. The patient was transferred to the Fetal Medicine Unit, Cairo University and another scan was done using V20 Prestige (Medison, Korea) 3D volume probe revealing: Enlarged ovary 15 × 7 × 3 cm with acrogenic areas implying stromal edema and multiple small immature follicles arranged peripherally. Marked edema of the ovarian tissue surrounding a clear simple cyst 5 × 7 cm. Hypoechoic mass suggestive of twisted ovarian pedicle (whirlpool sign). Doppler studies shows preservation of flow in ovarian vessels, this was confirmed by using 3D power Doppler on both the ovarian pedicle and on the smaller intra ovarian vessels. Immediate laparotomy done and confirmed the diagnosis of torsion of both right tube and ovary with marked edema of the ovary with no signs of gangrene, untwisting of the pedicle was performed and ovarian cystectomy of the simple cyst with reconstruction of the ovary and its fixation to avoid retwisting, three month follow up revealed resolution of the edema with return to the normal size of the ovary with resumption of ovulatory function.Supporting information can be found in the online version of this abstract. OP11.07 A case of ultrasound (US) guided hysteroscopic retrieval of a deep myometrial imbedded copper collar from the horizontal arm of an intrauterine device (IUD) M. Blanchette Porter Department of Obstetrics and Gynecology and Radiology, Dartmouth Hitchcock Medical Center, Lebanon, NH, USAThe IUD is a safe and reversible form of contraception utilized by millions of women. Complications of IUD use include uterine perforation and malposition of the IUD. The copper T 380A intrauterine contraceptive is a T-shaped device containing approximately 176 mg o...