Torsion of the ovary: sonographic features

Authors:
  • MGM Graif
    M Graif
  • JSJ Shalev
    J Shalev
  • SSS Strauss
    S Strauss
  • SES Engelberg
    S Engelberg
  • SMS Mashiach
    S Mashiach
  • YIY Itzchak
    Y Itzchak

Abstract
The sonographic findings in 19 cases of surgically proven torsion of the ovary are described. In all cases the affected ovary was markedly enlarged; in 32% of cases a small amount of fluid was detected in the cul-de-sac. More significant in terms of specificity was the demonstration in 14 (74%) of the 19 cases of small cystic structures scattered around the periphery of the organ. Sonographic demonstration of these structures, presumably prominent follicles, can suggest the preoperative diagnosis of ovarian torsion.