Catherine Baud MD, Presenter: Nothing to Disclose

Nancy Bechard-Sevette MD, Abstract Co-Author: Nothing to Disclose

Stephanie David MD, Abstract Co-Author: Nothing to Disclose

Julie Bolivar-Perrin, Abstract Co-Author: Nothing to Disclose

Magali Saguintaah MD, Abstract Co-Author: Nothing to Disclose

Alain Couture MD, Abstract Co-Author: Nothing to Disclose

Olivier Prodhomme MD, Abstract Co-Author: Nothing to Disclose

To review how to perform color Doppler sonography (CDS) in girls with acute pelvic pain To describe the sonographic findings of adnexal torsion To learn to recognize the twisted vascular pedicle/tube To provide prognostic criteria To discuss the other causes of acute pelvic pain  

1. CDS technique: comparative study of both ovaries, vascular pedicle course analysis 2. Normal ovary torsion: enlargement, abnormal echogenicity with peripheral follicles, heterogeneity, absent or decreased blood flow 3. Ovarian cystic masses torsion: thickened, echogenic adjacent cortex with absent or decreased vascularization 4. Twisted vascular pedicle/tube detection: round mass of 10-30 mm in anteroposterior diameter adjacent to the ovary producing the nipple or the double ovary sign 5. Prognostic signs 6. Isolated tube torsion: hydrosalpinx or/and paraadnexal cyst associated with twisted vascular pedicle/ tube adjacent to the uterus and/or ovary. 8. Others causes of acute pelvic pain Adnexal torsion is a rare surgical emergency requiring early diagnosis to avoid necrosis. In girls with acute pelvic pain, the twisted vascular pedicle detection can be helpful to diagnose torsion of normal ovary with mild enlargement, torsion of ovarian cystic masses and isolated tube torsion. Sonography is accurate in the differential diagnosis.

http://abstract.rsna.org/uploads/2014/14016442/14016442_m6zf.pdf

Baud, C, Bechard-Sevette, N, David, S, Bolivar-Perrin, J, Saguintaah, M, Couture, A, Prodhomme, O, US Approach of Adnexal Torsion in Girls with Acute Pelvic Pain.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016442.html