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. Read More

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

Keywords:  ovarian, torsion, tumor, edema

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. Read More

Authors:  Stanescu A. Luana , Otjen Jeffrey , Parisi Marguerite

Keywords:  Neonatal, infantile, Ovarian Torsion

Krauss Jillian,  Cole Tiffany,  Wyers Mary

Final Pr. ID: Poster #: EDU-045

Torsion and volvulus can affect a variety of organ systems throughout the body, ranging from pathology involving the gastrointestinal tract to the reproductive organs and even the lymphatic system. Torsion and volvulus, regardless of the affected organ, often presents acutely, prompting pediatric patients to seek urgent clinical evaluation either through their pediatrician or the Emergency Department. Accurate and timely diagnosis of these conditions and prompt surgical intervention is critical for both preserving organ viability and preventing patient morbidity and mortality. In these patients, there is a high reliance on imaging for confirmation of the diagnosis.

The purpose of this educational exhibit will be to discuss commonly encountered types of torsion and volvulus in pediatric patients in the emergent setting, with a focus on the imaging features and important clinical and radiologic associations in these conditions. The exhibit will highlight pathologies including midgut volvulus, gastric volvulus, sigmoid volvulus, splenic torsion, testicular torsion, and ovarian torsion, among others, in a case-based format. It is important that the radiologist be able to quickly and reliably diagnosis these potentially life-threatening conditions, as well as recognize any other potential conditions the patient may be at risk for.

This educational exhibit is designed to improve reader comfort and awareness with respect to these various conditions. In addition to reviewing the traditional imaging approach in diagnosing these pathologies, the exhibit will also address some emerging methods in detection of volvulus and torsion, including ultrasound for diagnosis of malrotation with midgut volvulus and rapid MRI for the diagnosis of ovarian torsion. Read More

Authors:  Krauss Jillian , Cole Tiffany , Wyers Mary

Keywords:  Volvulus, Emergency/Acute, Ovarian Torsion