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Magnetic Resonance Imaging of Massive Ovarian Edema in Pregnancy

Coakley, Fergus V. MD; Anwar, Mekhail PhD; Poder, Liina MD; Wang, Zhen J. MD; Yeh, Benjamin M. MD; Joe, Bonnie N. MD, PhD

Journal of Computer Assisted Tomography: November-December 2010 - Volume 34 - Issue 6 - p 865-867
doi: 10.1097/RCT.0b013e3181efdfaa
Abdominal Imaging

Objective: To investigate the MRI findings of massive ovarian edema in pregnancy.

Conclusions: Asymmetric ovarian enlargement with a teardrop configuration and T2 hyperintensity with or without T1 hyperintensity appear characteristic of massive ovarian edema in pregnancy, potentially facilitating nonoperative diagnosis and expectant management. These findings support the concept that massive ovarian edema in pregnancy reflects chronic partial ovarian torsion.

From the Department of Radiology, University of California San Francisco, San Francisco, CA.

Received for publication March 16, 2010; accepted June 9, 2010.

Reprints: Fergus V. Coakley, MD, Department of Radiology, University of California San Francisco, Box 0628, M-372, 505 Parnassus Ave, San Francisco, CA 94143-0628 (e-mail:

ZJW was supported by NIBIB T32 Training Grant 1 T32 EB001631.

© 2010 Lippincott Williams & Wilkins, Inc.