EURORAD ESR

Case 15965

Adnexal Torsion in Pregnancy- A Gynaecological Emergency!

Author(s)
Rishi Philip Mathew, Merin Jose, Binu Joy

Rajagiri Hospital, Chunagamvely, Aluva-683112, Kerala, India.
Email:dr_rishimathew@yahoo.com
 
Patient
female, 33 year(s)
 
 
  • Figure 1
    Ultrasound Pelvis

    Ultrasound of the pelvis revealed a left adnexal hypoechoic lesion, measuring approximately 10 x 5.6cm, with no significant vascularity.

     
    Area of Interest: Pelvis; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 2
    MRI pelvis
     

    MRI T2-FSE axial image showing a hypointense left adnexal lesion. (Note the fetus within the uterus)

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    MRI T2-FSE coronal image showing a hypointense left adnexal lesion. (Note the fetus within the uterus)

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    MRI T2-SPAIR axial image showing a hypointense left adnexal lesion. (Note the fetus within the uterus)

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    MRI T2-SPAIR coronal image showing a hypointense left adnexal lesion. (Note the fetus within the uterus)

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    MRI pelvis
     

    Axial T2-FSE sequence showing the twisted pedicle (black arrow).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    Sagittal T2-FSE sequence showing the twisted pedicle (black arrow).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    Coronal T2-FSE sequence showing the twisted pedicle (black arrow).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 4
    In and Out-of-Phase Images showing the ovarian torsion

    No fat signals were noted in the torsioned left ovary (arrow) on MR In-Phase and Out-of-Phase images.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 5
    Coronal T2-SPAIR overview images of abdomen & pelvis
     

    MR Coronal T2-SPAIR images showing an overview of the pelvis.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    MR Coronal T2-SPAIR images showing an overview of the pelvis.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    MR Coronal T2-SPAIR images showing an overview of the pelvis.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    MR Coronal T2-SPAIR images showing an overview of the pelvis.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    MR Coronal T2-SPAIR images showing an overview of the pelvis.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
Ultrasound of the pelvis revealed a left adnexal hypoechoic lesion, measuring approximately 10 x 5.6cm, with no significant vascularity.
 
MRI T2-FSE axial image showing a hypointense left adnexal lesion. (Note the fetus within the uterus)
 
MRI T2-FSE coronal image showing a hypointense left adnexal lesion. (Note the fetus within the uterus)
 
MRI T2-SPAIR axial image showing a hypointense left adnexal lesion. (Note the fetus within the uterus)
 
MRI T2-SPAIR coronal image showing a hypointense left adnexal lesion. (Note the fetus within the uterus)
 
Axial T2-FSE sequence showing the twisted pedicle (black arrow).
 
Sagittal T2-FSE sequence showing the twisted pedicle (black arrow).
 
Coronal T2-FSE sequence showing the twisted pedicle (black arrow).
 
No fat signals were noted in the torsioned left ovary (arrow) on MR In-Phase and Out-of-Phase images.
 
MR Coronal T2-SPAIR images showing an overview of the pelvis.
 
MR Coronal T2-SPAIR images showing an overview of the pelvis.
 
MR Coronal T2-SPAIR images showing an overview of the pelvis.
 
MR Coronal T2-SPAIR images showing an overview of the pelvis.
 
MR Coronal T2-SPAIR images showing an overview of the pelvis.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version