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Pelvis » Female Pelvis (Gynecology)
Left ovarian torsion
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Author(s) :
Chaitali Shah, FRCR
 
Presentation A 25 year old woman presented with left adnexal pain of 8 hours duration. A pelvic ultrasound was performed.
 
 
 
Caption: Transverse image of the right ovary
Description: This is a normal appearance of the right ovary.
 
 
 
Caption: Transverse color Doppler image
Description: Color Doppler demonstrates normal flow within the right ovary.
 
 
 
Caption: Transverse image of the left ovary
Description: The left ovary is enlarged, has an abnormal gray scale appearance and appears heterogeneous.
 
 
 
Caption: Sagittal color Doppler image of the left ovary
Description: There is scant internal and peripheral flow.
 
Differential Diagnosis Left ovarian torsion
 
Final Diagnosis Left ovarian torsion
 
Discussion This case illustrated here demonstrates a classic swollen and heterogeneous appearance of a torsed ovary. An article on adnexal torsion [tubal and ovarian] is available in a previously published case [click here to view]
 
Follow Up This patient underwent an oophorectomy. Pathology confirmed ovarian torsion.
 
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