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Massive ovarian edema with torsion: unusual hemorrhage and the recovery of contrast enhancement

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Abstract

We report a case of massive ovarian edema due to left adnexal torsion. On initial magnetic resonance (MR), unusual hemorrhages were demonstrated as several hypointense areas on T2-weighted images. The lack of contrast enhancement was also observed in the left adnexa. Abdominal pain resolved spontaneously, and then follow-up MR demonstrated the recovery of enhancement and hemorrhages as hyperintense signals on T1-weighted images.

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References

  1. Chervenak FA, Castadot MJ, Wiederman J, Sedlis A (1980) Massive ovarian edema: review of world literature and report of two cases. Obstet Gynecol Surv 35:677–684

    Article  PubMed  CAS  Google Scholar 

  2. Lee AR, Kim KH, Lee BH, Chin SY (1993) Massive edema of the ovary: imaging findings. Am J Roentgenol 161:343–344

    CAS  Google Scholar 

  3. Hall BP, Printz DA, Roth J (1993) Massive ovarian edema: ultrasound and MR characteristics. J Comput Assist Tomogr 17:477–479

    Article  PubMed  CAS  Google Scholar 

  4. Kramer LA, Lalani T, Kawashima A (1997) Massive edema of the ovary: high resolution MR findings using a phased-array pelvic coil. J Magn Reson Imaging 7:758–760

    Article  PubMed  CAS  Google Scholar 

  5. Umesaki N, Tanaka T, Miyama M, Nishimura S, Kawamura N, Ogita S (2000) Successful preoperative diagnosis of massive ovarian edema aided by comparative imaging study using magnetic resonance and ultrasound. Obstet Gynecol 89:97–99

    CAS  Google Scholar 

  6. Tamai K, Koyama T, Saga T, Kido A, Kataoka M, Umeoka S et al (2006) MR features of physiologic and benign conditions of the ovary. Eur Radiol 16:2700–2711

    Article  PubMed  Google Scholar 

  7. McGee DM, Connolly SA, Young RH (2003) Case 24-2003: a 10-year-old girl with recurrent bouts of abdominal pain. N Engl J Med 349:486–494

    Article  PubMed  Google Scholar 

  8. Geist RR, Rabinowitz R, Zuckerman B, Shen O, Reinus C, Beller U (2005) Massive edema of the ovary: a case report and review of the literature. J Pediatr Adolesc Gynecol 18:281–284

    Article  PubMed  Google Scholar 

  9. Khalbuss WE, Dipasquale B (2006) Massive ovarian edema associated with ovarian serous cystadenoma: a case report and review of the literature. Int J Gynecol Cancer 16(Suppl):326–330

    Article  PubMed  Google Scholar 

  10. Mohan H, Mohan P, Bal A, Tahlan A (2004) Massive ovarian edema: report of two cases. Arch Gynecol Obstet 270:199–200

    Article  PubMed  CAS  Google Scholar 

  11. Krasevic M, Haller H, Rupcic S, Behrem S (2004) Massive edema of the ovary: a report of two cases due to lymphatic permeation by metastatic carcinoma from the uterine cervix. Gynecol Oncol 93:564–567

    Article  PubMed  Google Scholar 

  12. Ghossain MA, Hachem K, Buy JN, Hourany-Rizk RG, Aoun NJ, Haddad-Zebouni S et al (2004) Adnexal torsion: magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance. J Magn Reson Imaging 20:451–462

    Article  PubMed  Google Scholar 

  13. Kimura I, Togashi K, Kawakami S, Takakura K, Mori T, Konishi J (1994) Ovarian torsion: CT and MR imaging appearances. Radiology 190:337–341

    PubMed  CAS  Google Scholar 

  14. Jain KA (1995) Magnetic resonance imaging findings in ovarian torsion. Magn Reson Imaging 13:111–113

    Article  PubMed  CAS  Google Scholar 

  15. Rha SE, Byun JY, Jung SE, Jung JI, Choi BG, Kim BS et al (2002) CT and MR imaging features of adnexal torsion. Radiographics 22:283–294

    PubMed  Google Scholar 

  16. Bader T, Ranner G, Haberlik A (1996) Torsion of a normal adnexa in a premenarcheal girl: MRI findings. Eur Radiol 6:704–706

    Article  PubMed  CAS  Google Scholar 

  17. Haque TL, Togashi K, Kobayashi H, Fujii S, Konishi J (2000) Adnexal torsion: MR imaging of viable ovary. Eur Radiol 10:1954–1957

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara-cho, Okinawa, 903-0215, Japan

    Tsuneo Yamashiro, Hisashi Kamiya, Ayano Kinjo & Sadayuki Murayama

  2. Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara-cho, Okinawa, 903-0215, Japan

    Morihiko Inamine & Yoichi Aoki

Authors
  1. Tsuneo Yamashiro
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  2. Morihiko Inamine
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  3. Hisashi Kamiya
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  4. Ayano Kinjo
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  5. Sadayuki Murayama
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  6. Yoichi Aoki
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Correspondence to Tsuneo Yamashiro.

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Yamashiro, T., Inamine, M., Kamiya, H. et al. Massive ovarian edema with torsion: unusual hemorrhage and the recovery of contrast enhancement. Emerg Radiol 15, 115–118 (2008). https://doi.org/10.1007/s10140-007-0648-3

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  • DOI: https://doi.org/10.1007/s10140-007-0648-3

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