title: A normal ovary in an abnormal location: A case of torsion.
abstract: The clinical and radiologic diagnosis of adnexal torsion is challenging. The patient's history, physical examination, and laboratory evaluation may overlap significantly with other causes of abdominal pain. Ultrasound is the most common radiologic tool to assess for torsion, and the imaging findings can be equally equivocal. We present a case of adnexal torsion in an 18-year-old emergency room patient with abdominal pain, diagnosed by ultrasound based solely on an abnormal medial position of the ovary-a finding that has been only rarely mentioned in the literature, and never in isolation.
authors.affiliation: Department of Radiology, Seattle Children's Hospital, University of Washington, Mail Stop MA.7.220, 4800 Sand Point Way NE, Seattle, WA, 98105.
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Otjen
authors.affiliation: Department of Radiology, Seattle Children's Hospital, University of Washington, Mail Stop MA.7.220, 4800 Sand Point Way NE, Seattle, WA, 98105.
authors.forename: Luana
authors.initials: L
authors.lastname: Stanescu
authors.affiliation: Department of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, Mail Stop OA.9.220, 4800 Sand Point Way NE, Seattle, WA, 98105.
authors.forename: Adam
authors.initials: A
authors.lastname: Goldin
authors.affiliation: Department of Radiology, Department of Pediatrics, Seattle Children's Hospital, Mail Stop MA.7.220, 4800 Sand Point Way NE, Seattle, WA, 98105.
authors.forename: Marguerite T
authors.initials: MT
authors.lastname: Parisi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000291:Adnexal Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010053:Ovary / Q000000981:diagnostic imaging / Q000601:surgery; D014102:Torsion Abnormality / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014463:Ultrasonography
keywords: adnexal torsion; ovarian medialization; ovarian torsion; ultrasound