Ovarian torsion

Discussion:

Features are consistent with left ovarian torsion with marked ovarian enlargement and edema, twisted thickened vascular pedicle (Whirlpool sign) and free pelvic fluid. 

No associated adnexal solid or cystic lesions identified on imaging basis in order to be considered acting as a leading point. A long vascular pedicle could be a predisposing factor.

It is a gynecological emergency and requires urgent surgical intervention to prevent ovarian necrosis.  

 

Case courtesy Prof. Dr. Heba Hassan Professor of woman imaging, Alexandria university, Egypt.

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