| Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. | |
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MedLine Citation:
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PMID: 9527577 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this study was to assess the diagnostic value of ultrasonography for the detection of twisted vascular pedicle in ovarian torsion and to verify whether the blood flow alterations in the twisted vascular pedicle on color Doppler sonography can predict the viability of adnexal structures. In 28 of 32 patients with surgically proved torsion, the twisted vascular pedicle was detected preoperatively by ultrasonography, which shows a diagnostic accuracy of 87%. Arterial and venous flows were present in the twisted vessels on color Doppler sonography in 16 of 28 patients with a visible twisted vascular pedicle. In 11 patients who underwent adnexectomy, the pathologic findings revealed nonnecrotic ovaries in 10 patients. Untwisting of the twisted vascular pedicle was performed in five patients, and follow-up ultrasonography showed normal follicular development and ovulation. All 12 patients who showed no blood flow within the twisted vascular pedicle had necrotic ovaries. In conclusion, identification of the twisted vascular pedicle through ultrasonography is suggestive of ovarian torsion, and color Doppler sonography could be helpful in predicting the viability of adnexal structures by depicting blood flow within the twisted vascular pedicle. |
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Authors:
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E J Lee; H C Kwon; H J Joo; J H Suh; A C Fleischer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 17 ISSN: 0278-4297 ISO Abbreviation: J Ultrasound Med Publication Date: 1998 Feb |
Date Detail:
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Created Date: 1998-03-27 Completed Date: 1998-03-27 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 83-9 Citation Subset: IM |
Affiliation:
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Department of Radiology, Ajou University, College of Medicine, Kyunggi-do, South Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Fallopian Tube Diseases / surgery, ultrasonography Female Follow-Up Studies Forecasting Humans Middle Aged Necrosis Ovarian Cysts / surgery, ultrasonography Ovarian Diseases / surgery, ultrasonography* Ovarian Follicle / growth & development, ultrasonography Ovarian Neoplasms / surgery, ultrasonography Ovariectomy Ovary / blood supply, pathology, ultrasonography Ovulation Regional Blood Flow Tissue Survival Torsion Abnormality / surgery, ultrasonography Ultrasonography, Doppler, Color* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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