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Sonographic Appearance of Adnexal Torsion, Correlation With Other Imaging Modalities, and Clinical History

Gerscovich, Eugenio O. MD*; Corwin, Michael T. MD*; Sekhon, Simran MD*; Runner, Gabriel J. MD*; Gandour-Edwards, Regina F. MD

doi: 10.1097/RUQ.0000000000000049
Pictorial Essay

This pictorial essay illustrates the varied imaging appearances of adnexal torsion and its diagnostic pitfalls. This is a difficult diagnosis with many false positives and false negatives. Diagnosis is mostly based on clinical history and ultrasound examination, with computed tomography and/or magnetic resonance used to support the diagnosis and to exclude other pathologies.

Departments of *Radiology and †Pathology and Laboratory Medicine, University of California Davis Medical Center, Sacramento, CA.

Received for publication July 9, 2013; accepted October 2, 2013.

The authors declare no conflict of interest.

Reprints: Eugenio O. Gerscovich, MD, Department of Radiology, University of California Davis Medical Center, 4860 Y St, Suite 3100, Sacramento, CA 95817 (e-mail:

© 2014 by Lippincott Williams & Wilkins