Spontaneous detorsion of the ovary: can it be diagnosed by MRI?
J Magn Reson Imaging
; 24(4): 880-5, 2006 Oct.
Article
em En
| MEDLINE
| ID: mdl-16969789
ABSTRACT
PURPOSE:
To determine whether recent progress in imaging has made it possible to diagnose spontaneous detorsion, which is an accepted concept in the gynecological literature but until now has been a presumptive diagnosis that could not be confirmed because of the lack of imaging proof. MATERIALS ANDMETHODS:
We searched for patients who had a diagnosis of spontaneous detorsion on MRI between January 2000 and January 2003, and selected only patients who met a selection of strict criteria, including mainly enlargement and hyperintensity of ovarian stroma on T2-weighted (T2W) images, clinical findings compatible with torsion and detorsion, and return of the stroma to normal size on follow-up examinations. Other signs of torsion, such as tubal thickening, were appreciated but not mandatory. Clinical follow-up for at least three years was available.RESULTS:
Four patients met the study criteria. No stabilizing procedure was performed in the ovaries. One patient recurred and lost her ovary.CONCLUSION:
The diagnosis of torsion followed by spontaneous detorsion was made with high probability in a selected number of patients. The clinical management of such patients remains a matter of debate. Laparoscopy with oophoropexy would be useful for young patients in whom close follow-up cannot be achieved.
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Base de dados:
MEDLINE
Assunto principal:
Doenças Ovarianas
/
Imageamento por Ressonância Magnética
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Magn Reson Imaging
Assunto da revista:
DIAGNOSTICO POR IMAGEM
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Líbano