Uterine adnexal torsion: sonographic findings
Acute torsion of the uterine adnexal structures (ovary and fallopian tube) is a recognized surgical emergency, but rarely has the diagnosis been made preoperatively on the basis of imaging studies. This report describes 16 cases in which the diagnosis was suggested preoperatively on the basis of son...
Saved in:
Published in | Radiology Vol. 154; no. 3; p. 773 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.03.1985
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | Acute torsion of the uterine adnexal structures (ovary and fallopian tube) is a recognized surgical emergency, but rarely has the diagnosis been made preoperatively on the basis of imaging studies. This report describes 16 cases in which the diagnosis was suggested preoperatively on the basis of sonography and subsequently confirmed at surgery. In all of the patients studied, a pelvic or pelvoabdominal mass was present on sonography. These masses had a sonographic texture ranging from cystic to solid, depending on the presence and extent of internal hemorrhage and/or stromal edema. In the majority of patients (13 of 16), adnexal torsion was associated with a preexisting cystic adnexal mass. Eight of these had thin internal septae. The severity of symptoms was variable and did not correlate directly with the sonographic features of the pelvic mass. Consideration of this entity in the proper clinical setting and with the typical sonographic findings will facilitate prospective recognition of adnexal torsion, thereby improving the chances for salvage of the involved adnexal structures. |
---|---|
AbstractList | Acute torsion of the uterine adnexal structures (ovary and fallopian tube) is a recognized surgical emergency, but rarely has the diagnosis been made preoperatively on the basis of imaging studies. This report describes 16 cases in which the diagnosis was suggested preoperatively on the basis of sonography and subsequently confirmed at surgery. In all of the patients studied, a pelvic or pelvoabdominal mass was present on sonography. These masses had a sonographic texture ranging from cystic to solid, depending on the presence and extent of internal hemorrhage and/or stromal edema. In the majority of patients (13 of 16), adnexal torsion was associated with a preexisting cystic adnexal mass. Eight of these had thin internal septae. The severity of symptoms was variable and did not correlate directly with the sonographic features of the pelvic mass. Consideration of this entity in the proper clinical setting and with the typical sonographic findings will facilitate prospective recognition of adnexal torsion, thereby improving the chances for salvage of the involved adnexal structures. |
Author | Edell, S L Fleischer, A C Bundy, A L James, Jr, A E Warner, M A Thieme, G A Kurtz, A B |
Author_xml | – sequence: 1 givenname: M A surname: Warner fullname: Warner, M A – sequence: 2 givenname: A C surname: Fleischer fullname: Fleischer, A C – sequence: 3 givenname: S L surname: Edell fullname: Edell, S L – sequence: 4 givenname: G A surname: Thieme fullname: Thieme, G A – sequence: 5 givenname: A L surname: Bundy fullname: Bundy, A L – sequence: 6 givenname: A B surname: Kurtz fullname: Kurtz, A B – sequence: 7 givenname: A E surname: James, Jr fullname: James, Jr, A E |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/3881798$$D View this record in MEDLINE/PubMed |
BookMark | eNotjslqwzAURbVISTN9Qql_QK4ma-iuhE4Q6CZdh2dJdlUcyUguNH_fQL06cDlczhotYooeoXtKakqFfsjgQhpSf6lpI2pec62pMnqBVoRwjrWg5hatS_kmhIpGqyVazsoK4c_J5xB9BS76XxiqKeUSUnysSoqpzzB-BVt1IboQ-7JFNx0Mxe9mbtDx5fm4f8OHj9f3_dMBW0H4hNvOSA3MAvhGN94QwQkDK68lXkpvFG0Jl9QpY6-z0caBZE6ApYppR9gG3f3fjj_t2bvTmMMZ8uU0V7M_isJGzQ |
CitedBy_id | crossref_primary_10_1016_j_cult_2011_07_005 crossref_primary_10_1016_j_femme_2015_09_001 crossref_primary_10_1097_00004728_199911000_00016 crossref_primary_10_1111_j_1447_0756_2008_00768_x crossref_primary_10_1111_1754_9485_12266 crossref_primary_10_1016_0028_2243_86_90113_9 crossref_primary_10_1097_00013644_200212000_00005 crossref_primary_10_7863_jum_2007_26_10_1289 crossref_primary_10_1016_j_ejogrb_2010_02_006 crossref_primary_10_1148_rg_284075069 crossref_primary_10_1016_S1283_081X_18_88084_5 crossref_primary_10_1016_S0246_1064_10_43805_0 crossref_primary_10_1371_journal_pone_0200190 crossref_primary_10_1016_j_ejrad_2017_11_004 crossref_primary_10_1080_014436100434785 crossref_primary_10_1148_rg_2021200122 crossref_primary_10_1016_j_ijscr_2014_11_002 crossref_primary_10_1016_S0887_2171_05_80028_9 crossref_primary_10_1016_j_jpag_2012_12_005 crossref_primary_10_1016_S0733_8627_05_70334_5 crossref_primary_10_1016_0002_9378_94_90393_X crossref_primary_10_1016_0735_6757_95_90208_2 crossref_primary_10_1097_RCT_0b013e31819e41f3 crossref_primary_10_1053_sroe_2001_22829 crossref_primary_10_2214_AJR_10_7293 crossref_primary_10_1016_j_jmig_2017_04_006 crossref_primary_10_1089_lap_2008_0191_supp crossref_primary_10_1155_2019_1406291 crossref_primary_10_1016_S0033_8389_22_01219_2 crossref_primary_10_1002_jum_14225 crossref_primary_10_7863_jum_2004_23_12_1643 crossref_primary_10_1007_s00247_009_1172_2 crossref_primary_10_1016_j_cult_2007_12_002 crossref_primary_10_1148_rg_297095710 crossref_primary_10_1097_RCT_0000000000000332 crossref_primary_10_1089_gyn_2015_0038 crossref_primary_10_1148_radiol_2015150261 crossref_primary_10_1097_00013644_200409000_00007 crossref_primary_10_1016_j_jadohealth_2004_10_020 crossref_primary_10_1148_rg_2021200118 crossref_primary_10_1016_0022_3468_91_90333_O crossref_primary_10_1016_j_ejrad_2016_09_020 crossref_primary_10_1148_radiographics_22_2_g02mr02283 crossref_primary_10_2214_AJR_13_12279 crossref_primary_10_1002_uog_6369 crossref_primary_10_1016_S0932_8610_89_80049_0 crossref_primary_10_1007_s00247_007_0429_x crossref_primary_10_1016_j_jpedsurg_2013_03_024 crossref_primary_10_1016_j_clinimag_2022_04_005 crossref_primary_10_1148_rg_285075130 crossref_primary_10_7863_ultra_32_9_1631 crossref_primary_10_15406_ogij_2017_07_00271 crossref_primary_10_1002_jum_15462 crossref_primary_10_1002_jcu_1870230809 crossref_primary_10_1016_j_cult_2005_09_010 crossref_primary_10_1002_uog_21981 crossref_primary_10_1590_0100_3984_2018_0079 crossref_primary_10_1002_jcu_1870140608 crossref_primary_10_1016_0730_725X_93_90479_W crossref_primary_10_1016_S0015_0282_00_00487_8 crossref_primary_10_1016_0301_2115_96_02464_5 crossref_primary_10_1056_NEJM198712033172307 crossref_primary_10_1007_s00261_015_0535_4 crossref_primary_10_1111_j_1479_828X_1999_tb03365_x crossref_primary_10_1017_S1481803500013622 crossref_primary_10_1016_j_ejrnm_2016_02_004 crossref_primary_10_3928_00904481_20090101_02 crossref_primary_10_3348_kjr_2015_16_4_835 crossref_primary_10_1097_RMR_0000000000000029 crossref_primary_10_2214_AJR_10_7271 crossref_primary_10_1007_BF01350009 crossref_primary_10_1002_jcu_1870170504 crossref_primary_10_1016_j_fertnstert_2009_01_152 crossref_primary_10_1016_S0015_0282_16_55167_X crossref_primary_10_1089_lap_2008_0191 crossref_primary_10_1007_BF02387567 crossref_primary_10_1007_BF02926944 crossref_primary_10_1016_0022_3468_95_90399_2 crossref_primary_10_18821_2313_8726_2016_3_2_108_112 crossref_primary_10_1016_0720_048X_95_00640_C crossref_primary_10_14366_usg_17011 crossref_primary_10_1016_S0733_8627_03_00047_6 crossref_primary_10_1016_j_acra_2020_09_025 crossref_primary_10_1136_aim_24_3_134 crossref_primary_10_1002_jcu_20182 crossref_primary_10_1016_S0932_8610_12_80083_1 crossref_primary_10_1007_s00261_019_02091_3 crossref_primary_10_1016_j_cult_2007_10_001 crossref_primary_10_1097_00006250_200008000_00014 crossref_primary_10_1016_j_crad_2011_10_018 |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1148/radiology.154.3.3881798 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine |
ExternalDocumentID | 3881798 |
Genre | Journal Article |
GroupedDBID | --- .55 .GJ 123 18M 1CY 1KJ 29P 2WC 34G 39C 4.4 476 53G 5RE 6NX 6PF 7FM AAEJM AAQQT AAWTL ABHFT ABOCM ACFQH ACGFO ACJAN ACRZS ADBBV AENEX AENYM AFFNX AFOSN AJJEV AJWWR ALMA_UNASSIGNED_HOLDINGS BAWUL CGR CS3 CUY CVF DIK DU5 E3Z EBS ECM EIF EJD F5P F9R G8K GX1 H13 I4R J5H KO8 L7B LMP LSO MJL MV1 N4W NPM OK1 P2P R.V RKKAF RXW SJN TAE TR2 TRS TWZ W8F WH7 WOQ X7M YQI YQJ ZGI ZKG ZVN ZXP |
ID | FETCH-LOGICAL-c403t-bf968a2caae585e904302ac6841e66e971b0361d79c2ac989da62d4ac1728d02 |
ISSN | 0033-8419 |
IngestDate | Sat Sep 28 07:29:33 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c403t-bf968a2caae585e904302ac6841e66e971b0361d79c2ac989da62d4ac1728d02 |
PMID | 3881798 |
ParticipantIDs | pubmed_primary_3881798 |
PublicationCentury | 1900 |
PublicationDate | 1985-Mar |
PublicationDateYYYYMMDD | 1985-03-01 |
PublicationDate_xml | – month: 03 year: 1985 text: 1985-Mar |
PublicationDecade | 1980 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Radiology |
PublicationTitleAlternate | Radiology |
PublicationYear | 1985 |
SSID | ssj0014587 |
Score | 1.5456187 |
Snippet | Acute torsion of the uterine adnexal structures (ovary and fallopian tube) is a recognized surgical emergency, but rarely has the diagnosis been made... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 773 |
SubjectTerms | Acute Disease Adnexal Diseases - diagnosis Adnexal Diseases - pathology Adolescent Adult Child Child, Preschool Female Humans Infant Middle Aged Torsion Abnormality Ultrasonography |
Title | Uterine adnexal torsion: sonographic findings |
URI | https://www.ncbi.nlm.nih.gov/pubmed/3881798 |
Volume | 154 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3NS8MwFA-bouwifg2_6cFb6exH2qZeZMh0CNvFDnYbaZLiDm5DJ4h_vS_N61amg-mlpAkNSX7J63sv74OQa_hHuFJxbRRGM4cmmefwXLkOkyr3AurnLCusLfpRd0CfhuGwVrurWC19zLOW-PrVr-Q_qEId4Kq9ZP-A7KJTqIAy4AtPQBieG2E8mBfOezaXE_WprcanhfJLS_nARptg1GNhF_fSpUK8DMbN5XhFo44p7-2eXUV1_F7C2l5qVDsSryue7YXyOH0ZK5Ny_RE7kMa7joVLa6qSQAaBwyhSsZJAmjDPuBOCCrmLTRqSn2SYateCt3ImhfoqaAWM6fBo1S9gQWavBTqbNq5Ex8aWOqnHTBO4vlbW4CUSDZkJmYpzQvM-GNzNmqE1yA6WVqSMgttI98keiglW22B-QGpqckh2e2gIcUQchN5C6C2E_taqAG-VwB-T9KGT3ncdzHzhCOoGcyfLk4hxX3CuQJxTiQ7M5nMRwSxUFKkk9jLgPDwZJwKqE5ZIHvmScqGzjUnXb5KtyXSiTogFr54nXZf7XMLJEzyUmsnOQya4zKR3SppmnqOZiW4ywgU4W9dwThrLnXNBtnM4TOoSOLN5dlWs_zcTHTQq |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Uterine+adnexal+torsion%3A+sonographic+findings&rft.jtitle=Radiology&rft.au=Warner%2C+M+A&rft.au=Fleischer%2C+A+C&rft.au=Edell%2C+S+L&rft.au=Thieme%2C+G+A&rft.date=1985-03-01&rft.issn=0033-8419&rft.volume=154&rft.issue=3&rft.spage=773&rft_id=info:doi/10.1148%2Fradiology.154.3.3881798&rft_id=info%3Apmid%2F3881798&rft_id=info%3Apmid%2F3881798&rft.externalDocID=3881798 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0033-8419&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0033-8419&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0033-8419&client=summon |