A case report of ovarian torsion following ovarian transposition for cervical cancer

Emerg Radiol. 2020 Oct;27(5):569-572. doi: 10.1007/s10140-020-01776-3. Epub 2020 Apr 19.

Abstract

We describe a case report of ovarian torsion after ovarian transposition in a young woman with cervical cancer. Ovarian transposition is a well-established surgical procedure in young women undergoing hysterectomy for pelvic malignancies who may go on to receive radiation therapy. Transposing the ovaries further from the targeted field lowers the radiation dose to the exquisitely radiosensitive ovaries. Torsion is not a commonly acknowledged complication following ovarian transplantation; however, we feel that clinicians and radiologists should include torsion in their differential for women with flank or abdominal pain and a history of ovarian transposition.

Keywords: Cervical cancer; Dual source CT; Ovarian torsion; Ovarian transposition.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Contrast Media
  • Diagnosis, Differential
  • Emergency Service, Hospital
  • Female
  • Humans
  • Hysterectomy
  • Magnetic Resonance Imaging*
  • Ovarian Torsion / diagnostic imaging*
  • Ovarian Torsion / surgery
  • Ovariectomy
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / surgery
  • Tomography, X-Ray Computed*
  • Uterine Cervical Neoplasms / surgery*

Substances

  • Contrast Media