%0 Journal Article
%T Magnetic resonance imaging findings of massive ovarian edema and ovarian torsion
%A Ekrem Karaka£¿
%A £¿mer Karaka£¿
%A Aysun Camuzcuo£¿lu
%A Ne£¿e G¨¹l Hilali
%J Journal of Clinical and Experimental Investigations
%D 2013
%I Association of Health Investigations
%X Objective: The aim of this study was to investigate therole of pelvic magnetic resonance imaging (MRI) in makingthe correct diagnosis of massive ovarian edema(MOE) and ovarian torsion (OT).Methods: Contrast-enhanced (CE) pelvic MRI and diffusion-weighted imaging (DWI) was performed in 4 patientsadmitted to hospital with lower abdominal pain and hadpre-diagnosis of OT and MOE with B-mode ultrasoundand Doppler ultrasoundResults: Doppler ultrasound examination of ovaries inthree patients with OT did not reveal arterial or venousflow. In the patients with MOE, monophasic arterial flowwith prolonged acceleration was detected. Venous flowwas not detected. Left ovary size of the patient with MOEincreased. Heterogeneous low-intensity on T1W imagesand heterogeneous high intensity on T2A-weighted imageswere observed. CE fat-saturated T1WI revealed partialparenchymal enhancement. Size of the ovaries increasedin two patients with OT. Homogeneous low and high intensitywere observed respectively on T1WI and T2WI.There was no parenchymal enhancement on CE fat-saturatedT1WI. Size of the ovaries increased in other patientwith OT. Reduction and increment of intensity reflectingthe hemorrhagic infarction were observed respectively onT2WI and T1WI, which became evident to the periphery.DWI of ovarian tissue in patients with ovarian torsion revealeddiffusion limitations reflecting the infarction.Conclusions: OT can be differentiated correctly fromMOE with the CE pelvic MRI findings of patients. Pre-operativelyinformation determined from DWI can help guideclinicians to decide for correct type of surgery. J Clin ExpInvest 2013; 4 (1): 95-100Key words: Massive ovarian edema, ovarian torsion,magnetic resonance imaging
%K Massive ovarian edema
%K ovarian torsion
%K magnetic resonance imaging
%U http://www.jceionline.org/upload/sayi/16/JCEI-00656.pdf