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Ovarian Torsion

Multimodality Review of Imaging Characteristics

Smolinski, Sara E. MD; Kreychman, Alena MD; Catanzano, Tara MD

Journal of Computer Assisted Tomography: November/December 2015 - Volume 39 - Issue 6 - p 922–924
doi: 10.1097/RCT.0000000000000332
Abdominal Radiology
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We present a case of ovarian torsion in pregnancy with demonstration of vascular flow on sequential Doppler ultrasonography. Magnetic resonance imaging demonstrated ovarian enlargement and edema. Mild symptoms and low clinical suspicion, in addition to risks associated with pregnancy prevented early laparoscopic examination, though torsion was considered. Progressive ovarian enlargement supported surgical intervention, which confirmed the presence of torsion. This case report reviews multimodality imaging characteristics of ovarian torsion, re-emphasizing the significance of ovarian morphology.

From the Department of Radiology at Baystate Medical Center, Springfield, MA.

Received for publication July 22, 2015; accepted August 19, 2015.

Correspondence to: Sara E. Smolinski, MD, Department of Radiology, 759 Chestnut St, Springfield, MA 01199 (e-mail: sara.smolinski@baystatehealth.org).

An expanded discussion of this “Case of the Quarter” can be found at the SBCT-MR Web site: scbtmr.dnnstaging.com.

The authors declare no conflict of interest.

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.