Ultrasound of a torsed ovary: Characteristic gray-scale appearance despite normal arterial and venous flow on Doppler

Peter J. Hurh*, James S. Meyer, Aimen Shaaban

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

Background: We present the case of an 8-year-old girl with acute onset of intermittent lower abdominal pain. The gray-scale US examination showed an enlarged right ovary with peripheral cysts, reflecting ovarian congestion and strongly suggesting the diagnosis of torsion. Normal arterial and venous flow, however, was found on Doppler US. Objective: To demonstrate the importance of gray-scale US findings despite the presence of blood flow found on Doppler US in salvaging a viable, torsed ovary. Methods: Despite the Doppler findings, a presumptive diagnosis of ovarian torsion was made. Results: Surgery confirmed the presence of a torsed ovary, which was viable and appeared normal after detorsion. Conclusion: This case illustrates that the gray-scale US appearance of the ovary can be more reliable than Doppler US for the diagnosis of ovarian torsion.

Original languageEnglish (US)
Pages (from-to)586-588
Number of pages3
JournalPediatric radiology
Volume32
Issue number8
DOIs
StatePublished - 2002

Keywords

  • Gray-scale ultrasound
  • Ovarian torsion
  • Spectral and color Doppler ultrasound

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Ultrasound of a torsed ovary: Characteristic gray-scale appearance despite normal arterial and venous flow on Doppler'. Together they form a unique fingerprint.

Cite this