Fluid-debris level in follicular cysts: a pathognomonic sign of ovarian torsion

Pediatric Radiology
Ursula Kiechl-KohlendorferIngmar Gassner

Abstract

Early diagnosis of ovarian torsion is mandatory to avoid common complications. Sonography is the imaging modality of choice, but diagnosis is still a challenge. To report an additional sonographic feature of ovarian torsion in order to improve diagnostic accuracy. Grey-scale and colour Doppler pelvic sonography was performed in 12 patients with acute onset of intermittent lower abdominal pain and in 1 asymptomatic patient with a palpable mass in the labium majus. Patient ages ranged from 4 months to 17 years. In all patients an enlarged ovary with peripheral cysts was demonstrated. High-resolution sonography detected fluid-debris levels within these cystic structures in 11 of the 13 patients (sensitivity 85%) and provided an additional diagnostic sign. Six patients had cystic teratoma. We confirm the fluid-debris level as a pathognomonic sonographic sign of ovarian torsion with or without associated teratoma.

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Citations

Mar 16, 2007·Pediatric Radiology·Sabah ServaesJeanne S Chow
Sep 5, 2007·Pediatric Radiology·Leann E LinamJill S Huppert
Apr 23, 2011·AJR. American Journal of Roentgenology·Grace S PhillipsFelix S Chew
May 9, 2014·European Journal of Radiology·Lil-Sofie Ording Muller
May 19, 2012·The Surgical Clinics of North America·Anne-Marie E Amies Oelschlager, Robert Sawin
Dec 27, 2011·Radiología·L Raposo RodríguezS Torga Sánchez
Dec 14, 2011·Journal of Pediatric Surgery·Tania DumontLisa Allen
May 21, 2011·European Journal of Radiology·Ursula NemecDaniela Prayer
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Jul 16, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Sung Il JungKyungah Jeong
Oct 1, 2020·Der Radiologe·Katja Glutig, Hans-Joachim Mentzel
Oct 12, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Akosua Sintim-DamoaLouis Swig Parvey

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