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Case Reports: Novel diagnostic procedure
Ovarian torsion: incremental role of contrast-enhanced ultrasound
  1. Shivani Gupta1,
  2. Smita Manchanda1 and
  3. Vatsla Dadhwal2
  1. 1Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Smita Manchanda; smitamanchanda{at}gmail.com

Abstract

We highlight the role of contrast-enhanced ultrasound (CEUS) as a supplementary modality to ultrasound (USG) examination in ovarian torsion in this case report. The reported patient had clinical history suspicious of ovarian torsion; however, USG and Doppler flow study findings were equivocal. CEUS was performed to solve the diagnostic dilemma and to know the status of ovarian parenchymal viability which revealed non-enhancement of the ovarian cyst wall and pedicle throughout the USG examination thus establishing the diagnosis of non-viable or infarcted ovarian parenchyma. The per operative and histopathology findings were consistent with our CEUS findings. CEUS is an emerging promising modality which provides information regarding parenchymal perfusion, resulting in a reliable diagnosis of ovarian torsion along with information on ovarian parenchymal viability. This ability makes CEUS equivalent to contrast-enhanced CT or MRI.

  • Obstetrics and gynaecology
  • Radiology
  • Ultrasonography

https://doi.org/10.1136/bcr-2022-251285

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    Footnotes

    • Contributors SG: literature search, manuscript preparation. SM: conception and design of work, manuscript preparation and editing. VD: manuscript editing.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.