EURORAD ESR

Case 9660

Incomplete Ovarian torsion following ovulation induction.

Author(s)
Dr. Chander Lulla, Dr. Nimit Dhabalia, Dr. Jay Patel, Dr. Ankit Bajpai, Dr. Saiprasad Gawde

Jaslok hospital and research center, Radiology; Dr G. Deshmukh road Mumbai, India; Email:Nimit_db2017@yahoo.com
 
Patient
female, 28 year(s)
 
 
  • Figure 1
    Gray scale image
     

    Gray scale sonography shows an enlarged and voluminous left ovary with multiple follicles within.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Gray scale image showing enlarged right ovary wih multiple follicles.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Gray scale image

    Spherical mass (arrow) seen adjacent to the left ovary showing snail shell appearance (target appearance), representing the twisted vascular pedicle.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    Colour Doppler image
     

    Colour Doppler image shows a single coil in the vascular pedicle of the left ovary before it enters the ovary.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Whirlpool sign on colour doppler image indicates a twisted vascular pedicle.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    Colour Doppler image
     

    The well-preserved arterial flow to the right ovary, shows a low resistance flow pattern.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Dampened but present arterial flow to the left ovary indicates a viable left ovary.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 5
    Intraoperative image

    Enlarged bilateral ovaries as seen following detorsion.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
Gray scale sonography shows an enlarged and voluminous left ovary with multiple follicles within.
 
Gray scale image showing enlarged right ovary wih multiple follicles.
 
Spherical mass (arrow) seen adjacent to the left ovary showing snail shell appearance (target appearance), representing the twisted vascular pedicle.
 
Colour Doppler image shows a single coil in the vascular pedicle of the left ovary before it enters the ovary.
 
Whirlpool sign on colour doppler image indicates a twisted vascular pedicle.
 
The well-preserved arterial flow to the right ovary, shows a low resistance flow pattern.
 
Dampened but present arterial flow to the left ovary indicates a viable left ovary.
 
Enlarged bilateral ovaries as seen following detorsion.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version