Cases of CLOE that were misdiagnosed as torsion and cases of ovarian torsion without a lead-point mass were analyzed. Other ultrasound features of torsion include high-resistance arterial flow with loss of venous flow, twisted vascular pedicle, and corkscrew vessels. Early recognition and restoration of blood flow are important to avoid irreversible ovarian damage. Other common MR features included abnormal poor ovarian enhancement. Journal of Obstetrics and Gynaecology Canada. Transvaginal sonogram showing a large edematous homogeneous circumscribed mass surrounded by free fluid. Also it appeared to be useful in detection of tube thickening and twisted pedicle which had different patterns increasing the reliability of ovarian torsion diagnosis. Obstetrics and Gynecology Clinics of North America. The Role of Imaging in the Evaluation of Adnexal Masses. The results of diagnostic laparoscopy were obtained from the surgical reports, including intraoperative findings of ovarian torsion, an ovarian mass or cyst, free fluid in the Douglas pouch, peritoneal adhesions, and signs of inflammation. Comparison with the asymptomatic contralateral side is typically very helpful. Herein, w… Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username, I have read and accept the Wiley Online Library Terms and Conditions of Use. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. PURPOSE: The aims of this study were to identify ultrasound-based predictors of ovarian torsion in girls without an adnexal mass and establish a set of normal values for ovarian volume ratio (OVR). Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi. Although ovarian torsion is not common, it is a medical emergency. ACR Appropriateness Criteria® Acute Pelvic Pain in the Reproductive Age Group. Prompt diagnosis can be further complicated in low-risk populations such as young children. Longitudinal sonogram showing an enlarged ovary with several small peripherally located follicles. Ovarian torsion is the fifth most common gynecologic surgical emergency, with prevalence rates of 2.7% to 3%. The database was searched for all women attending the unit in 2002 through 2008 in whom sonographic findings raised a suspicion of ovarian torsion. Ultraschall in der Medizin - European Journal of Ultrasound. The goal of the ED physician is to diagnose torsion in a timely fashion in an attempt to preserve ovarian function and viabili… In this article, we discuss and illustrate the normal appearance and arterial flow … Fig. Pediatric ovarian torsion: Follow- up after preservation of ovarian tissue 2. Most patients with surgically confirmed adnexal torsion are of reproductive age and present with acute or subacute pain. Ovarian Torsion •Partial or complete rotation of the ovarian pedicle on its axis which compromises the lymphatic and venous ... More common in childhood/reproductive years with increased risk during pregnancy. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Ovarian torsion usually occurs on just one side and can cause sudden, intense pain and vomiting. Yearbook of Obstetrics, Gynecology and Women's Health. Ultrasound There has been interval resolution of the right ovarian edema. Sigmoid cancer mimicking ovarian echotexture on transvaginal ultrasound: Case report with literature review. Our main findings were as follows: (1) sonographic diagnosis of ovarian torsion had overall accuracy of 74.6%; (2) the most frequent laparoscopic finding in cases of an erroneous sonographic diagnosis of ovarian torsion was a hemorrhagic corpus luteum; (3) abnormal ovarian blood flow and free fluid were the most accurate isolated sonographic signs of ovarian torsion; (4) a substantial proportion of women had ovarian torsion despite the presence of normal ovarian blood flow, lack of ovarian enlargement, and lack of an ovarian cyst or mass on sonography; and (5) combinations of sonographic signs had higher specificity values and PPVs for ovarian torsion. Article hosted at is unavailable due to technical difficulties tasked with performing an torsion. The proportion of cases of CLOE that were misdiagnosed as torsion and creation... 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