Shauna Duigenan1, Esther Oliva, Susanna I Lee. 1. Department of Radiology, Division of Abdominal Imaging and Intervention, Massachusetts General Hospital, Ellison 234, 55 Fruit St, Boston, MA 02114, USA.
Abstract
OBJECTIVE: The CT and MRI features of ovarian torsion are illustrated with gross pathologic correlation. Ovarian enlargement with or without an underlying mass is the finding most frequently associated with torsion, but it is nonspecific. A twisted pedicle, although not often detected on imaging, is pathognomonic when seen. Subacute ovarian hemorrhage and abnormal enhancement is usually seen, and both features show characteristic patterns on CT and MRI. Ipsilateral uterine deviation can also be seen. CONCLUSION: Diagnostic pitfalls that may mimic ovarian torsion and observations for discriminating them are discussed.
OBJECTIVE: The CT and MRI features of ovarian torsion are illustrated with gross pathologic correlation. Ovarian enlargement with or without an underlying mass is the finding most frequently associated with torsion, but it is nonspecific. A twisted pedicle, although not often detected on imaging, is pathognomonic when seen. Subacute ovarian hemorrhage and abnormal enhancement is usually seen, and both features show characteristic patterns on CT and MRI. Ipsilateral uterine deviation can also be seen. CONCLUSION: Diagnostic pitfalls that may mimic ovarian torsion and observations for discriminating them are discussed.
Authors: Sunita Dhanda; Swee T Quek; Mok Y Ting; Clement Y H Rong; Eric Y S Ting; Pooja Jagmohan; Bernard Wee Journal: Br J Radiol Date: 2017-06-27 Impact factor: 3.039