Cielma Tara, Adeyiga Adebunmi, Bandarkar Anjum
Final Pr. ID: Poster #: EDU-022
Adnexal torsion is one of the most common gynecologic surgical emergencies. Delayed diagnosis could result in tissue necrosis, leading to loss of ovarian function and impaired fertility.
The goals of this exhibit are:
1. Review the anatomy of the female pelvis.
2. Discuss the incidence, risk factors, and clinical characteristics of adnexal torsion.
3. Describe the technical approach of performing pelvic ultrasound.
4. Illustrate the sonographic imaging spectrum of adnexal torsion.
5. Discuss diagnostic criteria of adnexal torsion.
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Authors: Cielma Tara , Adeyiga Adebunmi , Bandarkar Anjum
Keywords: adnexal torsion, ovarian torsion, fallopian tube
Jackson Dana, Gould Sharon, Choudhary Arabinda, Epelman Monica
Final Pr. ID: Poster #: EDU-082
Acute onset pelvic pain in a pubertal girl has many possible etiologies. Reproductive, urinary and gastrointestinal pathology all can underlie acute onset pelvic pain in this age group and may have similar presentations. We present a series of six cases in which MRI was utilized for further evaluation of US findings and either confirmed the need for surgical intervention, or established the cause of pain and eliminated the need for surgery. Read More
Authors: Jackson Dana , Gould Sharon , Choudhary Arabinda , Epelman Monica
Keywords: Pelvic pain, Ovarian torsion, Appendicitis
Dahmoush Hisham, Chauvin Nancy
Final Pr. ID: Poster #: SCI-046
Massive ovarian edema (MOE) is a rare benign condition that affects childbearing women including girls. MOE is thought to result from intermittent or partial torsion of the ovary compromising the venous and lymphatic drainage but with preserved arterial supply. The clinical features of MOE are nonspecific and can simulate tumors, frequently resulting in oopherectomy. Fertility-sparing surgery may be undertaken if the diagnosis is considered prospectively and intraoperatively with a wedge biopsy, avoiding unnecessary resection of the affected ovary. We present clinical presentations and imaging features that should alert pediatric radiologists to the diagnosis of MOE. Read More
Authors: Dahmoush Hisham , Chauvin Nancy
Stanescu A. Luana, Otjen Jeffrey, Parisi Marguerite
Final Pr. ID: Poster #: SCI-075
Purpose
Ovarian torsion is rare in neonates and infants. Clinical diagnosis is challenging in the setting of lack of specific symptoms and the limitations in assessing pain in infants. Torsed ovaries in this patient population are also a diagnostic dilemma on imaging. In this study we reviewed the spectrum of imaging findings with pathologic correlation in a large series of patients.
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Authors: Stanescu A. Luana , Otjen Jeffrey , Parisi Marguerite