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Ovarian Torsion
Akshya Gupta, MD; Shweta Bhatt, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Term "adnexal torsion" considered more appropriate as fallopian tube is also usually torsed along with ovary
          • Definitions

            • Ovarian vascular pedicle twists on axis of infundibulopelvic and utero-ovarian ligaments
              • Leads to venous and lymphatic congestion, subsequent arterial obstruction, and eventual infarction

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Lourenco AP et al: Ovarian and tubal torsion: imaging findings on US, CT, and MRI. Emerg Radiol. 21(2):179-87, 2014
                                  2. Sasaki KJ et al: Adnexal torsion: review of the literature. J Minim Invasive Gynecol. 21(2):196-202, 2014
                                  3. Duigenan S et al: Ovarian torsion: diagnostic features on CT and MRI with pathologic correlation. AJR Am J Roentgenol. 198(2):W122-31, 2012
                                  4. Mashiach R et al: Sonographic diagnosis of ovarian torsion: accuracy and predictive factors. J Ultrasound Med. 30(9):1205-10, 2011
                                  5. Chang HC et al: Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 28(5):1355-68, 2008
                                  6. Ghossain MA et al: Adnexal torsion: magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance. J Magn Reson Imaging. 20(3):451-62, 2004
                                  7. Vijayaraghavan SB: Sonographic whirlpool sign in ovarian torsion. J Ultrasound Med. 23(12):1643-9; quiz 1650-1, 2004
                                  8. Ignacio EA et al: Ultrasound of the acute female pelvis. Ultrasound Q. 19(2):86-98; quiz 108-10, 2003
                                  9. Albayram F et al: Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. J Ultrasound Med. 20(10):1083-9, 2001
                                  10. Peña JE et al: Usefulness of Doppler sonography in the diagnosis of ovarian torsion. Fertil Steril. 73(5):1047-50, 2000
                                  11. Lee EJ et al: Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. J Ultrasound Med. 17(2):83-9, 1998
                                  12. Fleischer AC et al: Color Doppler sonography of adnexal torsion. J Ultrasound Med. 14(7):523-8, 1995
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Synonyms

                                            • Term "adnexal torsion" considered more appropriate as fallopian tube is also usually torsed along with ovary
                                          • Definitions

                                            • Ovarian vascular pedicle twists on axis of infundibulopelvic and utero-ovarian ligaments
                                              • Leads to venous and lymphatic congestion, subsequent arterial obstruction, and eventual infarction

                                          IMAGING

                                          • General Features

                                            • Ultrasonographic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • Gross Pathologic & Surgical Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Lourenco AP et al: Ovarian and tubal torsion: imaging findings on US, CT, and MRI. Emerg Radiol. 21(2):179-87, 2014
                                                                  2. Sasaki KJ et al: Adnexal torsion: review of the literature. J Minim Invasive Gynecol. 21(2):196-202, 2014
                                                                  3. Duigenan S et al: Ovarian torsion: diagnostic features on CT and MRI with pathologic correlation. AJR Am J Roentgenol. 198(2):W122-31, 2012
                                                                  4. Mashiach R et al: Sonographic diagnosis of ovarian torsion: accuracy and predictive factors. J Ultrasound Med. 30(9):1205-10, 2011
                                                                  5. Chang HC et al: Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 28(5):1355-68, 2008
                                                                  6. Ghossain MA et al: Adnexal torsion: magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance. J Magn Reson Imaging. 20(3):451-62, 2004
                                                                  7. Vijayaraghavan SB: Sonographic whirlpool sign in ovarian torsion. J Ultrasound Med. 23(12):1643-9; quiz 1650-1, 2004
                                                                  8. Ignacio EA et al: Ultrasound of the acute female pelvis. Ultrasound Q. 19(2):86-98; quiz 108-10, 2003
                                                                  9. Albayram F et al: Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. J Ultrasound Med. 20(10):1083-9, 2001
                                                                  10. Peña JE et al: Usefulness of Doppler sonography in the diagnosis of ovarian torsion. Fertil Steril. 73(5):1047-50, 2000
                                                                  11. Lee EJ et al: Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. J Ultrasound Med. 17(2):83-9, 1998
                                                                  12. Fleischer AC et al: Color Doppler sonography of adnexal torsion. J Ultrasound Med. 14(7):523-8, 1995