title: Twisted ovarian fibroma with high signal intensity on T1-weighted MR image: a new sign of torsion of ovarian tumors?
abstract: Torsion of ovarian tumors is often difficult to diagnose, because of non-specific clinical, laboratory, and imaging findings. We report a case of twisted ovarian fibroma whose main characteristic was the presence of large areas of high signal intensity on both T1- and T2-weighted MR images due to the passive congestion of the mass. This previously unreported finding should be considered a sign of ovarian torsion and may facilitate prompt surgical intervention.
authors.affiliation: Institute of Radiologic Sciences, University of Messina, Policlinico G. Martino, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Minutoli
authors.forename: A
authors.initials: A
authors.lastname: Blandino
authors.forename: M
authors.initials: M
authors.lastname: Gaeta
authors.forename: M
authors.initials: M
authors.lastname: Lentini
authors.forename: I
authors.initials: I
authors.lastname: Pandolfo
mesh_terms: D005260:Female; D005350:Fibroma / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis