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Emerg Radiol. 2017 Apr;24(2):215-218. doi: 10.1007/s10140-016-1436-8. Epub 2016 Sep 1.

Massive ovarian edema, due to adjacent appendicitis.

Author information

1
Department of Radiology and Biomedical Imaging, UCSF, San Francisco, California, USA. andrew.callen@ucsf.edu.
2
Department of Obstetrics and Gynecology, UCSF, San Francisco, California, USA.
3
Department of Radiology and Biomedical Imaging, UCSF, San Francisco, California, USA.

Abstract

Massive ovarian edema is a benign clinical entity, the imaging findings of which can mimic an adnexal mass or ovarian torsion. In the setting of acute abdominal pain, identifying massive ovarian edema is a key in avoiding potential fertility-threatening surgery in young women. In addition, it is important to consider other contributing pathology when ovarian edema is secondary to another process. We present a case of a young woman presenting with subacute abdominal pain, whose initial workup revealed marked enlarged right ovary. Further imaging, diagnostic tests, and eventually diagnostic laparoscopy revealed that the ovarian enlargement was secondary to subacute appendicitis, rather than a primary adnexal process. We review the classic ultrasound and MRI imaging findings and pitfalls that relate to this diagnosis.

KEYWORDS:

Abdominal and pelvic pain; Massive ovarian edema; Ovarian torsion

PMID:
27586353
DOI:
10.1007/s10140-016-1436-8
[Indexed for MEDLINE]

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