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Sonographic Appearance of Adnexal Torsion, Correlation With Other Imaging Modalities, and Clinical History

Sonographic Appearance of Adnexal Torsion, Correlation With Other Imaging Modalities, and... Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 PICTORIAL ESSAY Sonographic Appearance of Adnexal Torsion, Correlation With Other Imaging Modalities, and Clinical History Eugenio O. Gerscovich, MD,* Michael T. Corwin, MD,* Simran Sekhon, MD,* Gabriel J. Runner, MD,* and Regina F. Gandour-Edwards, MDÞ Huchon et al have proposed a clinical predictive score, Abstract: This pictorial essay illustrates the varied imaging appear- in efforts to improve the diagnosis. It is based on 5 criteria with ances of adnexal torsion and its diagnostic pitfalls. This is a difficult points being assigned to each of them: (1) unilateral abdom- diagnosis with many false positives and false negatives. Diagnosis is inal or lumbar pain (15 points), (2) vomiting (20 points), (3) mostly based on clinical history and ultrasound examination, with less than 8 hours’ pain duration at first presentation (20 points), computed tomography and/or magnetic resonance used to support the (4) absence of leukorrhea/metrorrhagia (25 points), and (5) diagnosis and to exclude other pathologies. ovarian cyst larger than 5 cm (25 points). With those criteria, the authors indicate a 0% probability of adnexal torsion with a Key Words: adnexal torsion, ultrasound, computed tomography, score of less than 40 in the low-risk (control) group and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Ultrasound quarterly Wolters Kluwer Health

Sonographic Appearance of Adnexal Torsion, Correlation With Other Imaging Modalities, and Clinical History

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Publisher
Wolters Kluwer Health
ISSN
0894-8771
eISSN
1536-0253
DOI
10.1097/RUQ.0000000000000049
Publisher site
See Article on Publisher Site

Abstract

Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 PICTORIAL ESSAY Sonographic Appearance of Adnexal Torsion, Correlation With Other Imaging Modalities, and Clinical History Eugenio O. Gerscovich, MD,* Michael T. Corwin, MD,* Simran Sekhon, MD,* Gabriel J. Runner, MD,* and Regina F. Gandour-Edwards, MDÞ Huchon et al have proposed a clinical predictive score, Abstract: This pictorial essay illustrates the varied imaging appear- in efforts to improve the diagnosis. It is based on 5 criteria with ances of adnexal torsion and its diagnostic pitfalls. This is a difficult points being assigned to each of them: (1) unilateral abdom- diagnosis with many false positives and false negatives. Diagnosis is inal or lumbar pain (15 points), (2) vomiting (20 points), (3) mostly based on clinical history and ultrasound examination, with less than 8 hours’ pain duration at first presentation (20 points), computed tomography and/or magnetic resonance used to support the (4) absence of leukorrhea/metrorrhagia (25 points), and (5) diagnosis and to exclude other pathologies. ovarian cyst larger than 5 cm (25 points). With those criteria, the authors indicate a 0% probability of adnexal torsion with a Key Words: adnexal torsion, ultrasound, computed tomography, score of less than 40 in the low-risk (control) group and

Journal

Ultrasound quarterly – Wolters Kluwer Health

Published: Mar 1, 2014

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