Bookmarks
KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Adnexal torsion, twisted ovary
Definitions
- Twisting of vascular pedicle of ovary, fallopian tube, or both → venous obstruction → edema → arterial compromise → ischemia → hemorrhagic infarction
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Rey-Bellet Gasser C et al: Is it ovarian torsion? A systematic literature review and evaluation of prediction signs. Pediatr Emerg Care. 32(4):256-61, 2016
- Smorgick N et al: High risk of recurrent torsion in premenarchal girls with torsion of normal adnexa. Fertil Steril. 105(6):1561-1565, 2016
- Bronstein ME et al: A meta-analysis of B-mode ultrasound, doppler ultrasound, and computed tomography to diagnose pediatric ovarian torsion. Eur J Pediatr Surg. 25(1):82-6, 2015
- Ngo AV et al: Pediatric ovarian torsion: a pictorial review. Pediatr Radiol. 45(12):1845-55; quiz 1842-4, 2015
- Oskaylı MÇ et al: Surgical approach to ovarian torsion in children. J Pediatr Adolesc Gynecol. 28(5):343-7, 2015
- Ozcan HN et al: Imaging findings of fetal-neonatal ovarian cysts complicated with ovarian torsion and autoamputation. AJR Am J Roentgenol. 205(1):185-9, 2015
- Sola R et al: National trends in the surgical treatment of ovarian torsion in children: An analysis of 2041 pediatric patients utilizing the nationwide inpatient sample. Am Surg. 81(9):844-8, 2015
- Hyttel TE et al: Re-torsion of the ovaries. Acta Obstet Gynecol Scand. ePub, 2014
- Lourenco AP et al: Ovarian and tubal torsion: imaging findings on US, CT, and MRI. Emerg Radiol. 21(2):179-87, 2014
- Narayanan S et al: Fallopian tube torsion in the pediatric age group: radiologic evaluation. J Ultrasound Med. 33(9):1697-704, 2014
- Swenson DW et al: Ovarian torsion: case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department. Eur J Radiol. 83(4):733-8, 2014
- Appelbaum H et al: Key clinical predictors in the early diagnosis of adnexal torsion in children. J Pediatr Adolesc Gynecol. 26(3):167-70, 2013
- Geimanaite L et al: Ovarian torsion in children: management and outcomes. J Pediatr Surg. 48(9):1946-53, 2013
- Navve D et al: Medial or lateral location of the whirlpool sign in adnexal torsion: clinical importance. J Ultrasound Med. 32(9):1631-4, 2013
- Schmitt ER et al: Twist and shout! Pediatric ovarian torsion clinical update and case discussion. Pediatr Emerg Care. 29(4):518-23; quiz 524-6, 2013
- Wilkinson C et al: Adnexal torsion -- a multimodality imaging review. Clin Radiol. 67(5):476-83, 2012
- Cheng KL et al: Ovarian torsion: appearance on MRI. Pediatr Radiol. 40 Suppl 1:S104, 2010
- Chang HC et al: Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 28(5):1355-68, 2008
- Linam LE et al: US findings of adnexal torsion in children and adolescents: size really does matter. Pediatr Radiol. 37(10):1013-9, 2007
- Abes M et al: Oophoropexy in children with ovarian torsion. Eur J Pediatr Surg. 14(3):168-71, 2004
- Beaunoyer M et al: Asynchronous bilateral ovarian torsion. J Pediatr Surg. 39(5):746-9, 2004
- Vijayaraghavan SB: Sonographic whirlpool sign in ovarian torsion. J Ultrasound Med. 23(12):1643-9; quiz 1650-1, 2004
- Hurh PJ et al: Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler. Pediatr Radiol. 32(8):586-8, 2002
- Rha SE et al: CT and MR imaging features of adnexal torsion. Radiographics. 22(2):283-94, 2002
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Adnexal torsion, twisted ovary
Definitions
- Twisting of vascular pedicle of ovary, fallopian tube, or both → venous obstruction → edema → arterial compromise → ischemia → hemorrhagic infarction
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Rey-Bellet Gasser C et al: Is it ovarian torsion? A systematic literature review and evaluation of prediction signs. Pediatr Emerg Care. 32(4):256-61, 2016
- Smorgick N et al: High risk of recurrent torsion in premenarchal girls with torsion of normal adnexa. Fertil Steril. 105(6):1561-1565, 2016
- Bronstein ME et al: A meta-analysis of B-mode ultrasound, doppler ultrasound, and computed tomography to diagnose pediatric ovarian torsion. Eur J Pediatr Surg. 25(1):82-6, 2015
- Ngo AV et al: Pediatric ovarian torsion: a pictorial review. Pediatr Radiol. 45(12):1845-55; quiz 1842-4, 2015
- Oskaylı MÇ et al: Surgical approach to ovarian torsion in children. J Pediatr Adolesc Gynecol. 28(5):343-7, 2015
- Ozcan HN et al: Imaging findings of fetal-neonatal ovarian cysts complicated with ovarian torsion and autoamputation. AJR Am J Roentgenol. 205(1):185-9, 2015
- Sola R et al: National trends in the surgical treatment of ovarian torsion in children: An analysis of 2041 pediatric patients utilizing the nationwide inpatient sample. Am Surg. 81(9):844-8, 2015
- Hyttel TE et al: Re-torsion of the ovaries. Acta Obstet Gynecol Scand. ePub, 2014
- Lourenco AP et al: Ovarian and tubal torsion: imaging findings on US, CT, and MRI. Emerg Radiol. 21(2):179-87, 2014
- Narayanan S et al: Fallopian tube torsion in the pediatric age group: radiologic evaluation. J Ultrasound Med. 33(9):1697-704, 2014
- Swenson DW et al: Ovarian torsion: case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department. Eur J Radiol. 83(4):733-8, 2014
- Appelbaum H et al: Key clinical predictors in the early diagnosis of adnexal torsion in children. J Pediatr Adolesc Gynecol. 26(3):167-70, 2013
- Geimanaite L et al: Ovarian torsion in children: management and outcomes. J Pediatr Surg. 48(9):1946-53, 2013
- Navve D et al: Medial or lateral location of the whirlpool sign in adnexal torsion: clinical importance. J Ultrasound Med. 32(9):1631-4, 2013
- Schmitt ER et al: Twist and shout! Pediatric ovarian torsion clinical update and case discussion. Pediatr Emerg Care. 29(4):518-23; quiz 524-6, 2013
- Wilkinson C et al: Adnexal torsion -- a multimodality imaging review. Clin Radiol. 67(5):476-83, 2012
- Cheng KL et al: Ovarian torsion: appearance on MRI. Pediatr Radiol. 40 Suppl 1:S104, 2010
- Chang HC et al: Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 28(5):1355-68, 2008
- Linam LE et al: US findings of adnexal torsion in children and adolescents: size really does matter. Pediatr Radiol. 37(10):1013-9, 2007
- Abes M et al: Oophoropexy in children with ovarian torsion. Eur J Pediatr Surg. 14(3):168-71, 2004
- Beaunoyer M et al: Asynchronous bilateral ovarian torsion. J Pediatr Surg. 39(5):746-9, 2004
- Vijayaraghavan SB: Sonographic whirlpool sign in ovarian torsion. J Ultrasound Med. 23(12):1643-9; quiz 1650-1, 2004
- Hurh PJ et al: Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler. Pediatr Radiol. 32(8):586-8, 2002
- Rha SE et al: CT and MR imaging features of adnexal torsion. Radiographics. 22(2):283-94, 2002
