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An ovarian torsion around a remnant of the urachus
Author(s) -
Dickfos Marilla,
Sharif Zakia
Publication year - 2014
Publication title -
australasian journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
eISSN - 2205-0140
pISSN - 1836-6864
DOI - 10.1002/j.2205-0140.2014.tb00113.x
Subject(s) - medicine , ovarian torsion , urachus , torsion (gastropod) , lower abdominal pain , laparoscopy , abdomen , ultrasound , acute abdomen , abdominal pain , surgery , umbilicus (mollusc) , radiology
We report a case of ovarian torsion around a remnant of the urachus. Though it usually develops into the median umbilical ligament, abnormalities in urachal development can occur which can lead to remnants being present in the adult abdomen. This case describes a young female who had intermittent lower abdominal pain over a period of three weeks. During this period several ultrasound scans were performed which reported different anatomy and possible causes of the pain. Only on diagnostic laparoscopy and confirmed via histology, was it found that she had experienced ovarian torsion around an urachal remnant. Unfortunately due to the delay from symptom onset to her operation, her ovary was not salvageable. This case highlights the variability of ultrasound findings and demonstrates how a remnant can contribute to ovarian torsion and subsequent infarction.