Presentation
Acute pelvic pain.
Patient Data
Age: 12 years
Gender: Female
From the case:
Ovarian torsion
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The left ovary is significantly enlarged (8 x 5 x 4 cm) showing a heterogeneous texture with a peripheral T2 hypointense zone showing multiple small follicles. The ovarian pedicle is thickened and twisted.
The right ovary is prominent in size (3 x 3.4 x 4.3 cm) with multiple small peripheral follicles.
The uterus is unremarkable for the patient's age.
There is no free fluid in the cul-de-sac of Douglas.
Case Discussion
The features are consistent with left ovarian torsion.
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