Document Detail


Color Doppler sonography of adnexal torsion.
MedLine Citation:
PMID:  7563300     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to describe the color Doppler sonographic findings in adnexal torsion that distinguish viable from nonviable ovaries. We present the color Doppler sonographic features in 13 patients with surgically proved adnexal torsion that help determine whether or not the ovaries were viable or nonviable at the time of surgery. Eleven combined ovarian and tubal torsions and two isolated tubal torsions were studied. In 10 cases the ovaries were considered nonviable at the time of surgery and in three cases they were considered viable. Of the nonviable group, six showed absent arterial and venous flow centrally, but two had low velocity (< 5 cm/s) arterial flow peripherally in the region of the adnexal branch of the uterine artery or in the main ovarian artery, and two demonstrated absent or reversed diastolic arterial flow. None of the nonviable ovaries showed venous flow centrally. In contrast, all of the viable ovaries demonstrated venous flow centrally, and two had peripheral and central arterial flow. Although the CDS findings in adnexal torsion are variable, ovarian viability may be predicted if central venous flow is present.
Authors:
A C Fleischer; S M Stein; J A Cullinan; M A Warner
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  14     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1995-11-21     Completed Date:  1995-11-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  523-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2675, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arteries / physiology
Blood Flow Velocity
Child
Child, Preschool
Fallopian Tube Diseases / pathology,  ultrasonography*
Female
Humans
Hypertrophy
Infant
Infant, Newborn
Middle Aged
Ovarian Diseases / pathology,  ultrasonography*
Ovary / blood supply,  pathology
Pregnancy
Pregnancy Complications / pathology,  ultrasonography
Retrospective Studies
Torsion Abnormality / ultrasonography
Ultrasonography, Doppler, Color*
Uterus / blood supply
Veins / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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