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Published on: December 15, 2014
Diffusion-weighted imaging of adnexal torsion
Ozgur Kilickesmez1, Neslihan Tasdelen, Burcu Yetimoglu
1Department of Radiology, School of Medicine, Yeditepe University, Istanbul, Turkey. okilickesmez@yahoo.com
Diffusion-weighted imaging (DWI) revealed restricted diffusion in a case of ovarian torsion. This finding correlated with ovarian infarction confirmed during surgery, highlighting DWI
Area of Science:
- Radiology
- Gynecologic Imaging
- Medical Diagnostics
Background:
- Ovarian torsion is a gynecologic emergency requiring prompt diagnosis.
- Magnetic resonance imaging (MRI) is a key modality for evaluating adnexal masses.
- Diffusion-weighted imaging (DWI) provides functional information about tissue water mobility.
Observation:
- A large ovarian cyst was identified on MRI.
- The ovary itself did not enhance post-contrast.
- Restricted diffusion was evident on DWI sequences.
Findings:
- DWI demonstrated restricted diffusion within the ovary.
- Surgical findings from laparoscopic salpingo-oophorectomy confirmed ovarian infarction.
- Restricted diffusion on DWI is indicative of ovarian infarction in torsion.
Implications:
- DWI can aid in the diagnosis of ovarian infarction secondary to torsion.
- Early detection of ovarian infarction may guide surgical management.
- Integrating DWI into MRI protocols can improve diagnostic accuracy for ovarian emergencies.
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