Ovarian Torsion: Diagnostic Features on CT and MRI With Pathologic Correlation

被引:114
作者
Duigenan, Shauna [1 ]
Oliva, Esther [2 ]
Lee, Susanna I. [1 ]
机构
[1] Massachusetts Gen Hosp, Dept Radiol, Div Abdominal Imaging & Intervent, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA
关键词
CT; MRI; ovarian torsion; ultrasound; ADNEXAL TORSION; SONOGRAPHIC FINDINGS; DOPPLER SONOGRAPHY; DEPICTION; GIRLS;
D O I
10.2214/AJR.10.7293
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. The CT and MRI features of ovarian torsion are illustrated with gross pathologic correlation. Ovarian enlargement with or without an underlying mass is the finding most frequently associated with torsion, but it is nonspecific. A twisted pedicle, although not often detected on imaging, is pathognomonic when seen. Subacute ovarian hemorrhage and abnormal enhancement is usually seen, and both features show characteristic patterns on CT and MRI. Ipsilateral uterine deviation can also be seen. CONCLUSION. Diagnostic pitfalls that may mimic ovarian torsion and observations for discriminating them are discussed.
引用
收藏
页码:W122 / W131
页数:10
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