EURORAD ESR

Case 15625

Spoke wheel ovaries in Ovarian Hyperstimulation Syndrome

Author(s)
Bibin Sebastian, Arun George, Deepali Saxena, Ravi Hoisala

St. John's Medical College Hospital, St. John's National Academy of Health Scoences, Department of Radiodiagnosis & Imaging; Koramangala 560034 Bangalore, India; Email:drbibinsebastian@gmail.com
 
Patient
female, 24 year(s)
 
 
  • Figure 1
    Fig 1: USG: Bilateral 'spoke-wheel' appearance of the ovaries.

    Transabdominal pelvic ultrasound reveals bilateral 'spoke-wheel' appearance of the ovaries. There is echogenic content in the cysts that layers in the dependent position(arrows) and the ascites is echogenic .

     
    Area of Interest: Pelvis; Imaging Technique: Ultrasound; Procedure: Treatment effects; Special Focus: Pathology;
     
     
  • Figure 2
    Fig 2: USG: Severe ascites and pleural effusion.

    Severe ascites with pleural effusion (arrow) are noted in the abdominal u;trasound examination.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Treatment effects; Special Focus: Inflammation;
     
     
  • Figure 3
    Fig 3: CECT: Bilateral 'spoke-wheel' ovaries.

    Contrast enhanced computed tomography in the axial plane reveals bilaterally enlarged multicystic ovaries giving a 'spoke-wheel' appearance. Ascites is also seen.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Oedema;
     
     
  • Figure 4
    Fig 4: Plain CT

    Muliple cyst hemorrhages: Fluid - blood levels. Unenhanced computed tomography in the axial plane reveals 'Spoke-wheel' ovaries with mulitple cysts showing hyperdense dependent levels indicating intracystic hemorrhage.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Blood;
     
     
Transabdominal pelvic ultrasound reveals bilateral 'spoke-wheel' appearance of the ovaries. There is echogenic content in the cysts that layers in the dependent position(arrows) and the ascites is echogenic .
 
Severe ascites with pleural effusion (arrow) are noted in the abdominal u;trasound examination.
 
Contrast enhanced computed tomography in the axial plane reveals bilaterally enlarged multicystic ovaries giving a 'spoke-wheel' appearance. Ascites is also seen.
 
Muliple cyst hemorrhages: Fluid - blood levels. Unenhanced computed tomography in the axial plane reveals 'Spoke-wheel' ovaries with mulitple cysts showing hyperdense dependent levels indicating intracystic hemorrhage.
 
 
 
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