Document Detail


Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler.
MedLine Citation:
PMID:  12136350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We present the case of an 8-year-old girl with acute onset of intermittent lower abdominal pain. The gray-scale US examination showed an enlarged right ovary with peripheral cysts, reflecting ovarian congestion and strongly suggesting the diagnosis of torsion. Normal arterial and venous flow, however, was found on Doppler US. OBJECTIVE: To demonstrate the importance of gray-scale US findings despite the presence of blood flow found on Doppler US in salvaging a viable, torsed ovary. METHODS: Despite the Doppler findings, a presumptive diagnosis of ovarian torsion was made. RESULTS: Surgery confirmed the presence of a torsed ovary, which was viable and appeared normal after detorsion. CONCLUSION: This case illustrates that the gray-scale US appearance of the ovary can be more reliable than Doppler US for the diagnosis of ovarian torsion.
Authors:
Peter J Hurh; James S Meyer; Aimen Shaaban
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2002-05-25
Journal Detail:
Title:  Pediatric radiology     Volume:  32     ISSN:  0301-0449     ISO Abbreviation:  Pediatr Radiol     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-07-23     Completed Date:  2002-10-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  586-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104-4399, USA. hurh@email.chop.edu
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MeSH Terms
Descriptor/Qualifier:
Child
Female
Humans
Ovarian Diseases / ultrasonography*
Ovary / blood supply*,  ultrasonography
Torsion Abnormality
Ultrasonography, Doppler

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