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Ovarian torsion

Case contributed by RMH Core Conditions
Diagnosis certain

Presentation

Acute severe right iliac fossa pain

Patient Data

Age: 50 years
Gender: Female

Abdomen/Pelvis

ct

A large right adnexal cystic lesion, anteriorly a solid appearing component is a torsed congested pedicle. This represents ovarian torsion. Left ovary not found.

Annotated image

Yellow arrow indicates torsed ovarian pedicle, note the "whirl" pattern. 

Case Discussion

This case demonstrates "twisted pedicle" or "twisted whirlpool" sign of ovarian torsion. 

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