Twist and shout: magnetic resonance imaging findings in ovarian torsion

Matheus Menezes Gomes; Larissa Sobral Cavalcanti; Rainier Luz Reis; Eduardo Just da Costa e Silva; Joanna Braynner Dutra; Andrea Farias De Melo Leite

doi:10.1590/0100-3984.2018.0079

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Twist and shout: magnetic resonance imaging findings in ovarian torsion

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Twist and shout: magnetic resonance imaging findings in ovarian torsion

Matheus Menezes Gomes, Larissa Sobral Cavalcanti, Rainier Luz Reis, Eduardo Just da Costa e Silva, Joanna Braynner Dutra and Andrea Farias De Melo Leite

Radiologia brasileira, Vol.52(6), pp.397-402

12/01/2019

DOI: 10.1590/0100-3984.2018.0079

PMID: 32047334

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Abstract

Adnexal torsion is characterized by partial or complete rotation of the suspensory ligament of the ovary and its corresponding vascular pedicle, resulting in vascular impairment that can culminate in hemorrhagic infarction, as well as necrosis of the ovary and fallopian tube. Because there are myriad causes of acute pelvic pain, the differential diagnosis of ovarian torsion is often challenging. Consequently, radiologists should be familiar with the main imaging findings. In this regard, there are typical signs of ovarian torsion on magnetic resonance imaging, including increased ovarian volume with stromal edema and peripheral distribution of the ovarian follicles, as well as thickening of the fallopian tube, an adnexal mass (causal factor) that shifts toward the midline, and the classic, pathognomonic “whirlpool sign”. The objective of this essay was to review and illustrate the various magnetic resonance imaging findings in ovarian torsion.

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Title: Subtitle: Twist and shout: magnetic resonance imaging findings in ovarian torsion
Creators: Matheus Menezes Gomes - Instituto de Medicina Integral Professor Fernando Figueira
Larissa Sobral Cavalcanti - Instituto de Medicina Integral Professor Fernando Figueira
Rainier Luz Reis - Instituto de Medicina Integral Professor Fernando Figueira
Eduardo Just da Costa e Silva - Instituto de Medicina Integral Professor Fernando Figueira
Joanna Braynner Dutra - Instituto de Medicina Integral Professor Fernando Figueira
Andrea Farias De Melo Leite - Instituto de Medicina Integral Professor Fernando Figueira
Resource Type: Journal article
Publication Details: Radiologia brasileira, Vol.52(6), pp.397-402
DOI: 10.1590/0100-3984.2018.0079
PMID: 32047334
ISSN: 0100-3984
eISSN: 1678-7099
Publisher: Colégio Brasileiro de Radiologia e Diagnóstico por Imagem
Number of pages: 6
Language: English
Date published: 12/01/2019
Academic Unit: Radiology
Record Identifier: 9985214167702771

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