Question 169
{"accessible":false,"alternatives":[{"id":847,"text":"a hemorrhagic cyst on the side of the patient's pain"},{"id":846,"text":"absence of free fluid in the pelvis"},{"id":843,"text":"flow in the ovary on color Doppler"},{"id":845,"text":"neither ovary crosses the midline"},{"id":844,"text":"ovaries are symmetric and normal size"}],"archived":false,"correctAlternativeId":844,"explanation":"\u003cp\u003eThe best ultrasound finding to exclude ovarian torsion is that the ovaries are symmetric and normal size.\u003c/p\u003e\u003cp\u003eLack of flow in the ovary on color Doppler is specific for ovarian torsion, but the presence of flow does not exclude torsion. Put another way, an ovary can be torsed and still show color Doppler flow.\u003c/p\u003e\u003cp\u003eTorsion may result in increased pelvic fluid and may result in an ovary that is medially located (twisted back on itself).\u0026nbsp;The absence of these findings does not necessarily exclude torsion, however.\u003c/p\u003e\u003cp\u003eAn adnexal cyst or mass may be the predisposing factor in ovarian torsion, and visualizing a cyst or a mass in a woman with\u0026nbsp;pelvic pain does not exclude torsion.\u003c/p\u003e","id":169,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2064","nextQuestionPath":null,"relatedArticles":[],"alsoUsedIn":[{"id":628,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 628","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/628"},{"id":628,"kind":"Course","title":"2020 Virtual Conference Private Use - page 628","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/628"},{"id":689,"kind":"Course","title":"Abdominal Emergency Radiology Course - page 689","link":"https://radiopaedia.org/courses/abdominal-emergency-radiology-course-online/pages/689"},{"id":689,"kind":"Course","title":"2020 Virtual Conference Private Use - page 689","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/689"}],"stem":"\u003cp\u003eWhich of these is the best\u0026nbsp;ultrasound finding to exclude ovarian torsion?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/169"}],"attemptsPercentages":[{"alternativeId":"844","percentage":76},{"alternativeId":"847","percentage":5},{"alternativeId":"845","percentage":2},{"alternativeId":"843","percentage":13},{"alternativeId":"846","percentage":3}],"promptToLogin":false,"questionManager":false,"articleId":"ovarian-torsion"}