Imaging in gynecological disease (20): clinical and ultrasound characteristics of adnexal torsion.
Francesca MoroG BolominiM SibalS B VijayaraghavanPriti VenkateshF NardelliT PasciutoF MasciliniFederica PozzatiF P G LeoneH JosefssonElisabeth EpsteinStefano GuerrieroG ScambiaLil ValentinA C TestaPublished in: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology (2020)
Most patients with surgically confirmed adnexal torsion are of reproductive age and present with acute or subacute pain. Common ultrasound signs are an enlarged adnexa, the whirlpool sign, ovarian stromal edema with or without peripherally displaced antral follicles and free fluid in the pelvis. The follicular ring sign and absence of Doppler signals in the twisted organ are slightly less common signs. Recognizing ultrasound signs of adnexal torsion is important so that the correct treatment, i.e. surgery without delay, can be offered. Copyright © 2020 ISUOG. Published by John Wiley & Sons Ltd.
Keyphrases
- magnetic resonance imaging
- minimally invasive
- contrast enhanced ultrasound
- high resolution
- chronic pain
- ultrasound guided
- liver failure
- bone marrow
- pain management
- systematic review
- randomized controlled trial
- respiratory failure
- computed tomography
- drug induced
- blood flow
- photodynamic therapy
- hepatitis b virus
- combination therapy
- acute respiratory distress syndrome
- aortic dissection