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Age: 23

Sex: Female

Indication: Right lower quadrant pain

Negative pregnancy test

Save ("V")

Case #16


Findings

  • Markedly enlarged right ovary with heterogeneous echotexture, peripheralization of ovarian follicles, and minimal internal vascularity
  • Echogenic mass along the medial aspect of the right ovary with internal “dot dash” appearance
  • Normal appearance of the uterus and left ovary
  • Moderate volume of mildly complex fluid layering in the cul-de-sac


Diagnosis

Ovarian torsion

Sample Report

Markedly enlarged right ovary with heterogeneous echotexture, peripheralization of ovarian follicles, and minimal internal vascularity, concerning for ovarian torsion.

Echogenic mass along the medial aspect of the right ovary with internal “dot dash” appearance is consistent with a dermoid cyst and is the likely lead point for ovarian torsion.

Normal appearance of the uterus and left ovary.

Moderate volume of mildly complex fluid layering in the cul-de-sac.


Discussion

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Images

Enlarged right ovary with peripheralization of ovarian follicles (red arrows) and near complete loss of internal ovarian vascularity, consistent with ovarian torsion. Heterogeneous echogenic mass along the medial aspect of the right ovary with internal echogenic dots (red arrows) and dashes (yellow arrows), consistent with a dermoid cyst.



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