Ovarian torsion is the fifth most common gynecological surgical emergency. Ovarian torsion is usually associated with a cyst or a tumor, which is typically benign. The most common is mature cystic teratoma. We report the case of a 43-year-old woman who came to the Emergency Department with rare acute presentation of bilateral Krukenberg tumors, due to unilateral ovarian torsion. In this case report, we highlight the specific computed tomography (CT) features of ovarian torsion and demonstrate the unique radiological findings on CT imaging. Metastasis to the ovary is not rare and 5 to 10% of all ovarian malignancies are metastatic. The stomach is the common primary site in most Krukenberg tumors (70%); an acute presentation of metastatic Krukenberg tumors with ovarian torsion is rare and not previously reported in radiology literature.
Nitin P. Ghonge, Chandana Lall, Bharat Aggarwal and Puneet Bhargava The MRI whirlpool sign in the diagnosis of ovarian torsion Radiology Case Reports 7(3) 2012 731. Doi: 10.2484/rcr.v7i3.731
A. La Fianza, C. Cassani and G. Ori Belometti Intralesional hemorrhage in Krukenberg tumor: a case report and review of the literature J Ultrasound 16(2) 2013 89. Doi: 10.1007/s40477-013-0011-3
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