Day 3 - Case 11

Edith Kermarrec, Marc Bazot, Isabelle Thomassin-Naggara
Radiology Department in Tenon Hospital in Paris

Clinical history:
A 32-year-old woman with no history presents with acute lower limb and abdominal distension, tachycardia and dyspnea. Those clinical changes warranted a CTPA and abdominopelvic CT scan assessment (Fig 1a, Fig 1b, Fig 1c, Fig 1d) followed by a pelvic ultrasound scan (Fig2) and a pelvis MRI scan (Fig3a & Fig3b: T2weighted images. Fig3c: DWI weighted image. Fig3d: T1 Lava Flex fat sat weighted images and Fig3e: T1 Lava Flex fat sat weighted images after intravenous injection of media contrast)

Possible answers
  • Thyroid neoplasm with ovarian metastasis
  • Ovarian hyperstimulation syndrome
  • Massive oedema of the left ovary secondary to cardiothyrotoxicosis
  • Mucinous tumour of the left ovary
  • Twisted left ovarian pedicle with ovarian torsion

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