OVARIAN AND ADNEXAL TORSION: SPECTRUM OF IMAGING FINDINGS WITH INTRA-OPERATIVE AND PATHOLOGIC CORRELATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 49
Abstract
[b] OBJECTIVE[/b]: The purpose of this study was to review the role of ultrasound in prompt pre-operative diagnosis of adnexal torsion so that no time is wasted before surgery and salvage of ovarian tissue be achieved. [b]METHODS:[/b] Twenty patients presenting with lower abdominal/pelvic pain referred for ultrasound with provisional diagnosis of ovarian torsion or appendicitis, were evaluated with gray scale and colour doppler sonography (Both transabdominal & transvaginal). Patients with USG diagnosis of ovarian torsion underwent surgery within twenty four hours and the specimen sent for histopathological analysis. [b]RESULTS[/b]: The twenty patients were in the age group of 18- 40 years, none were post menopausal. Common symptoms/signs were lower abdominal or pelvic pain (100%), nausea/vomiting (60%), and a palpable mass (40%). Leukocytosis was present in 60% patients. Common imaging findings were an enlarged hypoechoic ovary (90%), peripherally arranged follicles with/without associated mass, decreased or absent flow on colour doppler and free fluid (90%). Common surgical findings were enlarged, congested and hemorrhagic ovary consistent with ovarian torsion, often associated with torsion of ipsilateral fallopian tube. There was a slight rightsided predominance 14(70%) and in one case isolated fallopian tube was involved. A correct preoperative diagnosis of torsion was made in all the cases except in one. At pathologic examination, underlying adnexal masses were found in 16/20 cases (80%); they were benign in all (100%) of 20 cases. [b]CONCLUSION:[/b] Ultrasound with doppler provides accurate preoperative imaging diagnosis & saves crucial time so as to achieve maximum salvage of ovarian tissue.
Authors and Affiliations
Archana Agarwal, Gaurav Sharma, Anoop , Meera , Thukral B. B.
Keywords
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- EP ID EP101136
- DOI 10.14260/jemds/2015/1243
- Views 75
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