Ahvaz Jundishapour Medical Sciences University
Among the etiology of acute pelvic pain, ovarian torsion due golden time for treatment the early and accurate diagnosis is very important.
TVS with color Doppler is first step of imaging with some specific character of ovaries such as enlargement of size with peripheral location of follicles which have echogenic border and free fluid of culde sac and high end diastolic flow pattern
are suggestive of torsion of ovaries.
sometime the torsion is not complete and findings are not straight forward pelvic MRI is the best chose as complimentary imaging for accurate diagnosis of torsion.
within last 2 years we have few cases which are approved with surgery and pathology of ovarian torsion we find some MRI and sonogram specific finding of ovarian images which help up for accurate diagnosis.