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Ovarian Torsion

Thomas LPT - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Ovarian Torsion

History: 10 year old girl with intermittent lower abdominal pain for approximately one month now presents with severe lower abdominal pain, anorexia and some vomitting. No fever. The patient was premenarchal and not sexually active.

Findings: Contrast enhanced abdominal/pelvic CT with oral and rectal contrast performed first: Approximately 8 cm hetergeneous but predominantly low attenuation midline pelvic mass with multiple peripheral peripherally enhancing cysts or follicles. Anterior and rightward uterine deviation. Normal left ovary. Normal appendix. Limited transabdominal pelvic ultrasound performed next: Large midline hyperechoic pelvic mass with peripherally located cysts/follicles. Venous and arterial Doppler waveforms absent.

Ddx: CT: ovarian torsion, ovarian/adnexal mass with or without torsion. Ultrasound: ovarian torsion

Dxhow: Surgical pathology revealed hemorrhagic necrosis of the right ovary. Normal right fallopian tube.

Exam: Vital signs normal. Lower abdominal and pelvic tenderness with guarding. No mass palpable. WBC 12.5 (4.5-13.5) with 10% PMNs (1.8-8) UA >80 ketones otherwise negative Chem 7 normal except for mild hyperglycemia. HCG negative AFP tumor marker negative

No MeSH data available.


Gray scale and color doppler images reveal a large predominantly hyperechoic midline pelvic mass with multiple peripherally located cysts/follicles. Color Doppler, arterial and venous waveforms absent.
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MPX1807_synpic21710: Gray scale and color doppler images reveal a large predominantly hyperechoic midline pelvic mass with multiple peripherally located cysts/follicles. Color Doppler, arterial and venous waveforms absent.


Ovarian Torsion

Thomas LPT - MedPix

Gray scale and color doppler images reveal a large predominantly hyperechoic midline pelvic mass with multiple peripherally located cysts/follicles. Color Doppler, arterial and venous waveforms absent.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1807&req=5

MPX1807_synpic21710: Gray scale and color doppler images reveal a large predominantly hyperechoic midline pelvic mass with multiple peripherally located cysts/follicles. Color Doppler, arterial and venous waveforms absent.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Ovarian Torsion

History: 10 year old girl with intermittent lower abdominal pain for approximately one month now presents with severe lower abdominal pain, anorexia and some vomitting. No fever. The patient was premenarchal and not sexually active.

Findings: Contrast enhanced abdominal/pelvic CT with oral and rectal contrast performed first: Approximately 8 cm hetergeneous but predominantly low attenuation midline pelvic mass with multiple peripheral peripherally enhancing cysts or follicles. Anterior and rightward uterine deviation. Normal left ovary. Normal appendix. Limited transabdominal pelvic ultrasound performed next: Large midline hyperechoic pelvic mass with peripherally located cysts/follicles. Venous and arterial Doppler waveforms absent.

Ddx: CT: ovarian torsion, ovarian/adnexal mass with or without torsion. Ultrasound: ovarian torsion

Dxhow: Surgical pathology revealed hemorrhagic necrosis of the right ovary. Normal right fallopian tube.

Exam: Vital signs normal. Lower abdominal and pelvic tenderness with guarding. No mass palpable. WBC 12.5 (4.5-13.5) with 10% PMNs (1.8-8) UA >80 ketones otherwise negative Chem 7 normal except for mild hyperglycemia. HCG negative AFP tumor marker negative

No MeSH data available.