Ovarian Torsion: Diagnostic Features on CT and MRI With Pathologic Correlation

Duigenan, Shauna; Oliva, Esther; Lee, Susanna I.

doi:10.2214/ajr.10.7293

Cited by 167 publications

(179 citation statements)

References 29 publications

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“…Accordingly a quick and confident diagnosis is required to save the adnexal structures from infarction, this can't be achieved unless be thought of. Obviously it is always preferable to perform an abdomen X ray, abdominal US, Color Doppler 7, or CT or MRI of the abdomen [5,6] those tools are extremely valuable and will usually confirm the diagnosis in older patients, but in our belief all this tests commonly require at least sedation or even anesthetizing the little girl, otherwise all those investigations without stabilizing the patient can't be relied on their results, it is very important to rely on the Surgeons experience and suspicion of the possibility of adnexal torsion. The question is raised on choosing the surgical approach whether open or laparoscopic intervention, and in case of open surgery should we use a skin crease or midline incision, we prefer the first choice and if we were faced with unsolvable finding problem we can always switch to other incision, Some surgeons advocate Laparoscopic distortion as a recognized and the mainstay of treatment regardless the condition of the ovaries [7,8].…”

Section: Discussionmentioning

confidence: 99%

Ovarian and Uterine Tube Infarction in a Two Years Old Toddler, Case Report

Kubtan¹

2017

MOJS

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Introduction: Sudden abdominal pain in toddlers is a taxing challenge, the only symptoms that a two years old toddler can present are crying in pain, it represent a great problem for young mother who never experienced such event before, as a little girl she can't complain verbally except crying and occasionally vomiting. Case presentation:We present a case of a two years old girl suffered from severe abdominal pain associated with vomiting. She was referred to our clinic for surgical consultation, with three days history of abdominal pain, vomiting .Following her visit to the general practitioner, Full blood count revealed notable leukocytosis 24800, with normal urinalysis, the abdomen was rigid, with guarding mainly in the right lower quadrant with absent bowel sounds, since the child was extremely agitated and un cooperating, abdomen X ray , Echo, CTor MRI were omitted. Despite its rarity we were in doubt of adnexal involvement. Through a 25 mm, lower abdomen Rt sided skin crease Incision, the diagnosis of Rt sided Ovary and Uterine Tube Hemorrhagic infarction was confirmed clinically, the appendix appeared to have reactive inflammation. Resection of Rt Uterine Tube and Ovary, as well as appendectomy performed. Her post-operative course was uneventful. The Histology report confirmed the Diagnosis of Hemorrhagic Infarction of Rt Tube and Ovary, Appendix Reactive Inflammation and benign Lymphoid Hyperplasia. Conclusion:Abdominal pain in toddler should be regarded as real emergency, and in females. Torsion of Ovary and Tube should always be kept in mind in the deferential diagnostic process.

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Section: Discussionmentioning

confidence: 99%

Ovarian and Uterine Tube Infarction in a Two Years Old Toddler, Case Report

Kubtan¹

2017

MOJS

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“…The most common but nonspecific finding of ovarian torsion on CT is an enlarged ovary (Ͼ4 cm in maximal dimension) with or without a mass. 3 The enlarged ovary with a central afollicular stroma results from …”

Section: Discussionmentioning

confidence: 99%

Torsion of a Normal Ovary During the Early Postpartum Period

Tanaka

Koyama

Shiki

2015

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Ovarian cyst torsion is a well-known cause of acute abdominal pain in female patients. However, torsion of a normal ovary is extremely rare and predominantly occurs in premenarchal female patients. The objective of this report is to describe a rare case of acute abdomen during the early postpartum period that was ultimately diagnosed as torsion of a normal ovary by laparoscopic surgery. A 29-year-old woman vaginally delivered a healthy 3530-g baby uneventfully at 40 weeks' gestation. On postpartum day 6, she presented with acute abdominal pain in the right lower quadrant and costovertebral angle tenderness. A complete workup including laboratory examination, ultrasonography, and computed tomography was performed. Leukocytosis with a left shift and a slightly enlarged right ovary were found. Finally, diagnostic laparoscopy showed torsion of a normal ovary. The patient underwent laparoscopic detorsion of the right adnexa and was discharged on postoperative day 4 without any complications.

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“…Hemoraji ve kontrastlanmada azalma saptanabilir. Çevre yağ dokuda kalınlaşma, ödem ve serbest sıvı görülebilir [13,16].…”

Section: Over Torsiyonuunclassified