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