Ultrasound Cases “Torsion of an Ovarian Cyst”

Clinical manifestations: colicky pain of sudden onset, increasing in intensity,
sometimes beginning after an abrupt twisting of the body.

Diagnosis:
Note: It is essential not to overlook this diagnosis.
x Rectal or vaginal examination: very tender mass
x Sonography, transvaginal sonography
x Laparoscopy with preparations for laparotomy

Sonographic findings:
x Unilateral ovarian enlargement with an associated cystic mass.
x In many cases the twisted pedicle can be visualized as an echogenic band

Accuracy of sonographic diagnosis: The cyst can be detected with high confidence, but it may be difficult to classify. The diagnosis can be made sonographically in conjunction with clinical findings and the exclusion of pregnancy

a, b ultrasound cases Torsion of an ovarian cyst: anechoic cyst (C) adjacent to the bladder (B). The pedicle (P) appears as an echogenic band

Ultrasound Tags: ovarium