Ovarian torsion in a patient with congenital absence of the uterus

Brown, Pierpont F.; McLendon, Harold; Pettitt, Barbara J.

doi:10.1007/bf00181008

Cited by 3 publications

(1 citation statement)

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“…One of the cases of ovarian torsion reported by us was in a patient with absent uterus, diagnosed as MRKH syndrome. The association of ovarian torsion with MRKH syndrome has been reported previously, and the absence of supporting structures of ovary, primarily the utero-ovarian ligament, has been postulated to be the cause [9].…”

Section: Discussionmentioning

confidence: 99%

Spectrum of magnetic resonance imaging findings in ovarian torsion

Singh¹,

Prabhakar²,

Singla³

et al. 2018

Pol J Radiol

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PurposeOvarian torsion is the twisting of the ovary on its vascular pedicle resulting in vascular compromise. Diagnosis of ovarian torsion is challenging in patients who have atypical clinical or ultrasound (US) findings. The objective of our study was to demonstrate the magnetic resonance imaging (MRI) features of ovarian torsion to help radiologists make a conclusive diagnosis when the clinical and US findings are unclear.Material and methodsWe retrospectively reviewed the clinical and MRI features in 10 females with surgically proven ovarian torsion, who had inconclusive clinical, US, or computed tomography findings.ResultsAll patients showed a significantly enlarged ovary with size ranging from 5 to 18 cm. ‘Twisted ovarian pedicle’ sign was seen in seven patients. Eight cases showed areas of haemorrhage within the ovarian stroma. Non-enhancement of ovarian stroma was observed in six patients. Seven patients showed an ipsilateral deviation of the uterus.ConclusionsMRI features of ovarian torsion include ovarian enlargement, twisted ovarian pedicle, ovarian haemorrhage, abnormal ovarian enhancement, and ipsilateral deviation of the uterus. Awareness of these imaging features will enable the radiologist to recognise ovarian torsion and differentiate it reliably from other benign or malignant ovarian lesions.

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Section: Discussionmentioning

confidence: 99%