Abstract：
BACKGROUND:Massive ovarian edema is a rare benign condition that predominantly affects childbearing women as well as preadolescent girls. It is thought to result from intermittent or partial torsion of the ovary compromising the venous and lymphatic drainage but with preserved arterial supply. The clinical features of massive ovarian edema are nonspecific and can simulate tumors, leading to unnecessary oophorectomy. OBJECTIVE:To demonstrate imaging features that should alert radiologists to consider the diagnosis of massive ovarian edema preoperatively so that fertility-sparing surgery may be considered. MATERIALS AND METHODS:We identified five girls diagnosed with massive ovarian edema at pathology. Presenting symptoms, sidedness, imaging appearance, preoperative diagnosis, and operative and histopathological findings were reviewed. RESULTS:Age range was 9.6-14.3 years (mean age: 12.5 years). Common imaging findings included ovarian enlargement with edema of the stroma, peripherally placed follicles, isointense signal on T1-W MRI and markedly hyperintense signal on T2-W MRI, preservation of color Doppler flow by US, and CT Hounsfield units below 40. The uterus was deviated to the affected side in all patients. Two of the five patients had small to moderate amounts of free pelvic fluid. Mean ovarian volume on imaging was 560 mL (range: 108-1,361 mL). CONCLUSION:While the clinical presentation of massive ovarian edema is nonspecific, an enlarged ovary with stromal edema, peripherally placed follicles and preservation of blood flow may be suggestive and wedge biopsy should be considered intraoperatively to avoid unnecessary removal of the ovary.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Dahmoush H,Anupindi SA,Pawel BR,Chauvin NAdoi
10.1007/s00247-017-3782-4subject
Has Abstractpub_date
2017-05-01 00:00:00pages
576-583issue
5eissn
0301-0449issn
1432-1998pii
10.1007/s00247-017-3782-4journal_volume
47pub_type
杂志文章abstract：BACKGROUND:Prader orchidometry has been the standard method for evaluating testicular size. As this technique is subjective and tends to overestimate the testicular volume, ultrasound (US) has been proposed as more reliable. OBJECTIVE:To evaluate the intra- and interobserver agreement of US measurements of testicular ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-018-4195-8
更新日期：2018-11-01 00:00:00
abstract：:Clavicle fractures are the most common bony injury that occurs during the delivery process. We present a case of medial clavicular physeal fracture mimicking sternoclavicular dislocation diagnosed by ultrasound (US) in a neonate. The infant presented to our clinic at 12 days old with improving left upper extremity pse...
journal_title：Pediatric radiology
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更新日期：2020-04-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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更新日期：2017-05-01 00:00:00
abstract：:The use of a central venous catheter (CVC) has become commonplace in the care of children with a wide variety of medical and surgical problems. Complications resulting from the insertion of these catheters are well recognized and can be life-threatening. When a temporary CVC or other catheter is inserted into the cent...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-007-0674-z
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:Reversed blood flow has been reported in the superior mesenteric artery (SMA) in 92% of healthy term newborns at 2 h of age. By 24 h after birth the end-diastolic velocity became positive in all of the infants. OBJECTIVE:To characterize hemodynamic changes in the coeliac artery and superior mesenteric arter...
journal_title：Pediatric radiology
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doi：10.1007/s00247-013-2825-8
更新日期：2014-03-01 00:00:00
abstract：:Lenticulostriate vasculopathy can be seen in an increasing number of clinical conditions, among which congenital infections and chromosomal abnormalities are best known. Two further patients with this ultrasound finding are reported, who were both recipients in the twin-to-twin transfusion syndrome. ...
journal_title：Pediatric radiology
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doi：
更新日期：1995-11-01 00:00:00
abstract：BACKGROUND:Image-guided percutaneous core needle biopsy (PCNB) of soft-tissue lesions is a minimally invasive technique that can provide a definitive diagnosis for treatment. Anatomical and age considerations in children require judicious use of safe percutaneous biopsy techniques. There are, however, limited data on t...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-015-3364-2
更新日期：2015-09-01 00:00:00
abstract：:Congenital neutropenia is an uncommon entity which may be familial and has a wide spectrum of clinical expression. Three sisters with the severe form of the disease, that suffered from recurrent infections which lead to their demise, are described. Review of their radiographs revealed the presence of cortical thickeni...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02388088
更新日期：1987-01-01 00:00:00
abstract：:The need for X-ray investigations of the urinary tract at the time of the first proven urinary infection, even in older girls, is stressed. This policy is the best way to detect chronic pyelonephritis and congenital anomalies of the urinary tract and provide timely and appropriate treatment. These conclusions are supp...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00972109
更新日期：1977-10-28 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：1991-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：2015-09-01 00:00:00
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journal_title：Pediatric radiology
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journal_title：Pediatric radiology
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更新日期：2012-09-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1994-01-01 00:00:00
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journal_title：Pediatric radiology
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更新日期：1997-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050436
更新日期：1998-09-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02456296
更新日期：1986-01-01 00:00:00
abstract：:Pseudotumoral cystitis is an unusual lesion and since it may be confused with rhabdomyosarcoma, knowledge of its existence is important. We report eight cases. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：BACKGROUND:It has been suggested that increased hepatic and intramuscular fat is associated with insulin resistance, and that increased pancreatic fat is related to impaired insulin secretion. OBJECTIVE:We postulated that in obese nondiabetic teenagers insulin levels would be directly related to increases in intramusc...
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pub_type： 杂志文章
doi：10.1007/s00247-005-1413-y
更新日期：2005-06-01 00:00:00
abstract：:A neonate with reversible, nonobstructive common hepatic duct enlargement secondary to intravenous morphine administration is presented. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02390403
更新日期：1988-01-01 00:00:00
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journal_title：Pediatric radiology
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更新日期：1990-01-01 00:00:00
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更新日期：2001-05-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：2003-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02388606
更新日期：1985-01-01 00:00:00
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更新日期：2019-05-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02010826
更新日期：1990-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00973970
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journal_title：Pediatric radiology
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更新日期：1990-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-003-0933-6
更新日期：2003-07-01 00:00:00
