Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler.

Abstract:

BACKGROUND:We present the case of an 8-year-old girl with acute onset of intermittent lower abdominal pain. The gray-scale US examination showed an enlarged right ovary with peripheral cysts, reflecting ovarian congestion and strongly suggesting the diagnosis of torsion. Normal arterial and venous flow, however, was found on Doppler US. OBJECTIVE:To demonstrate the importance of gray-scale US findings despite the presence of blood flow found on Doppler US in salvaging a viable, torsed ovary. METHODS:Despite the Doppler findings, a presumptive diagnosis of ovarian torsion was made. RESULTS:Surgery confirmed the presence of a torsed ovary, which was viable and appeared normal after detorsion. CONCLUSION:This case illustrates that the gray-scale US appearance of the ovary can be more reliable than Doppler US for the diagnosis of ovarian torsion.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Hurh PJ,Meyer JS,Shaaban A

doi

10.1007/s00247-002-0739-y

keywords:

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

586-8

issue

8

eissn

0301-0449

issn

1432-1998

journal_volume

32

pub_type

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