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Gebe Hastada Ovaryan Torsion Tanısında MRG

Year 2005, Volume: 12 Issue: 3, 39 - 42, 09.04.2009

Abstract

SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2005 Eylül; 12(3)








Gebe Hastada Ovaryan Torsion Tanısında MRG



Mert Köroğlu, Mustafa Yalçın, Bahattin Baykal, Harun Yıldız, Ahmet Yeşildağ, Orhan Oyar



Özet

Gebeliğinin ikinci trimesterinde MRG (Manyetik rezonans görüntüleme) ile tanı konulan vakayı sunuyoruz. Over torsiyonunun MRG bulguları torsiyon tarafındaki lokal inflamasyondan intraovaryan hemorajiye ve hatta hemoperitona kadar değişkenlik gösterebilir. Cerrahi acillerden olan bu patolojinin preoperativ tanısı fetal ve maternal morbiditeyi azaltmak için çok önemlidir.



Anahtar kelimeler: Over, Torsiyon, Manyetik rezonans görüntüleme, Gebelik



Abstract



MRI in the Diagnosis of Ovarian Torsion in a Pregnant Patient

We report a case of ovarian torsion during 2nd trimester of pregnancy which was diagnosed with MRI (Magnetic resonance imaging). MRI findings of ovarian torsion may vary from local inflammation in the twisted side, to intraovarian hemorrhage and to even hemoperitoneum. Preoperative diagnosis of this surgical emergency is very important to decrease fetal and maternal morbidity.



Key words: Ovary, Torsion, Magnetic resonance imaging, Pregnancy

References

  • Jain, KA. "Magnetic resonance imaging findings in ovarian torsion." Magn Reson Imaging 1995; 13: 111- 13
  • Born C, Wirth S, Stabler A, Reiser M. Diagnosis of adnexal torsion in the third trimester of pregnancy: a case report. Abdom Imaging 2004 ; 29: 123-127
  • Levine D, Barnes PD, Edelman RR. Obstetric MRI. Radiology 1999; 211: 609–617
  • Nagayama M, Watanabe Y, Okumura A, Amoh Y, Nakashita S, Dodo Y. Fast MRI in obstetrics. Radiographics 2002; 22: 563-582
  • Dohke M, Watanabe Y, Okumura A, et al. Comprehensive MRI of acute gynecologic diseases. RadioGraphics 2000; 20: 1551–1566
  • Jung SE, Byun JY, Lee JM, et al. MR of maternal diseases in pregnancy. AJR 2001; 177: 1293-1300
  • Nishino M, Hayakawa K, Iwasaku K, Takasu K. Magnetic resonance imaging findings in gynecologic emergencies. JCAT 2003; 27: 564-570
  • Albayram F, Hamper UM. Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. J Ultrasound Med 2001; 20 :1083-1089
  • Yaman C, Ebner T, Jesacher K. Three-dimensional power Doppler in the diagnosis of ovarian torsion. Ultrasound Obstet Gynecol 2002; 20: 513-515
  • Degirmenci NA, Ozkan IR, Ilhan H. Case report: Ovarian torsion in inguinal canal. Tani Girisim Radyol 2003; 9: 388-390
  • Rha SE, Byun JY, Jung SE, et al. CT and MRI features of adnexal torsion. RadioGraphics 2002; 22: 283-294
  • Graif M, Shalev J, Strauss S, et al. Torsion of the ovary: sonographic features. AJR 1984; 143: 1331–1334
  • Hurh PJ, Meyer JS, Shaaban A. Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler. Pediatr Radiol 2002; 32: 586–588
  • RosadoWMJr, Trambert MA, Gosink BB, Pretorious DH. Adnexal torsion: diagnosis by using Doppler sonography. AJR 1992; 159: 1251–1253
  • Kimura I, Togashi K, Kawakami S, Takakura K, Mori T, Konishi J. Ovarian torsion: CT and MRI appearances. Radiology 1994; 190: 337-341
  • Kramer LA, Lalani T, Kawashima A. Massive edema of the ovary: high resolution MR findings using a phased-array pelvic coil. J Magn Reson Imaging 1997; 7: 758-760
Year 2005, Volume: 12 Issue: 3, 39 - 42, 09.04.2009

Abstract

References

  • Jain, KA. "Magnetic resonance imaging findings in ovarian torsion." Magn Reson Imaging 1995; 13: 111- 13
  • Born C, Wirth S, Stabler A, Reiser M. Diagnosis of adnexal torsion in the third trimester of pregnancy: a case report. Abdom Imaging 2004 ; 29: 123-127
  • Levine D, Barnes PD, Edelman RR. Obstetric MRI. Radiology 1999; 211: 609–617
  • Nagayama M, Watanabe Y, Okumura A, Amoh Y, Nakashita S, Dodo Y. Fast MRI in obstetrics. Radiographics 2002; 22: 563-582
  • Dohke M, Watanabe Y, Okumura A, et al. Comprehensive MRI of acute gynecologic diseases. RadioGraphics 2000; 20: 1551–1566
  • Jung SE, Byun JY, Lee JM, et al. MR of maternal diseases in pregnancy. AJR 2001; 177: 1293-1300
  • Nishino M, Hayakawa K, Iwasaku K, Takasu K. Magnetic resonance imaging findings in gynecologic emergencies. JCAT 2003; 27: 564-570
  • Albayram F, Hamper UM. Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. J Ultrasound Med 2001; 20 :1083-1089
  • Yaman C, Ebner T, Jesacher K. Three-dimensional power Doppler in the diagnosis of ovarian torsion. Ultrasound Obstet Gynecol 2002; 20: 513-515
  • Degirmenci NA, Ozkan IR, Ilhan H. Case report: Ovarian torsion in inguinal canal. Tani Girisim Radyol 2003; 9: 388-390
  • Rha SE, Byun JY, Jung SE, et al. CT and MRI features of adnexal torsion. RadioGraphics 2002; 22: 283-294
  • Graif M, Shalev J, Strauss S, et al. Torsion of the ovary: sonographic features. AJR 1984; 143: 1331–1334
  • Hurh PJ, Meyer JS, Shaaban A. Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler. Pediatr Radiol 2002; 32: 586–588
  • RosadoWMJr, Trambert MA, Gosink BB, Pretorious DH. Adnexal torsion: diagnosis by using Doppler sonography. AJR 1992; 159: 1251–1253
  • Kimura I, Togashi K, Kawakami S, Takakura K, Mori T, Konishi J. Ovarian torsion: CT and MRI appearances. Radiology 1994; 190: 337-341
  • Kramer LA, Lalani T, Kawashima A. Massive edema of the ovary: high resolution MR findings using a phased-array pelvic coil. J Magn Reson Imaging 1997; 7: 758-760
There are 16 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Mert Köroğlu This is me

Mustafa Yalçın This is me

Bahattin Baykal This is me

Harun Yıldız This is me

Ahmet Yeşildağ This is me

Orhan Oyar This is me

Publication Date April 9, 2009
Submission Date April 9, 2009
Published in Issue Year 2005 Volume: 12 Issue: 3

Cite

Vancouver Köroğlu M, Yalçın M, Baykal B, Yıldız H, Yeşildağ A, Oyar O. Gebe Hastada Ovaryan Torsion Tanısında MRG. Med J SDU. 2009;12(3):39-42.

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