Mahajan Parag Suresh, Ahamad Nazeer, Hussain Sheik Akbar
Department of Radiology, Al-Khor Hospital, Hamad Medical Corporation, Doha, Qatar.
Int Med Case Rep J. 2014 Mar 17;7:49-52. doi: 10.2147/IMCRJ.S60049. eCollection 2014.
An autoamputated wandering calcified ovary (AWCO) is an extremely rare cause of abdominal calcification in the pediatric population. We present the magnetic resonance imaging (MRI) features of AWCO in a child. To our knowledge, the MRI features of AWCO have not been previously described in the published literature. Our case report indicates that the MRI findings are characteristic in the diagnosis of an AWCO and can completely obviate the need for invasive procedures in this mostly benign disease. An AWCO should be considered in all cases of mobile calcific opacities on radiographs in female patients. We advise that MRI be conducted in all suspected cases of AWCO for accurate and noninvasive diagnosis, and regular follow-up should be performed with ultrasound. The findings in our case report have the potential to change the course of investigations and management in suspected cases.
自截游走性钙化卵巢（AWCO）是小儿腹部钙化极为罕见的原因。我们展示了一名儿童AWCO的磁共振成像（MRI）特征。据我们所知，已发表的文献中此前尚未描述过AWCO的MRI特征。我们的病例报告表明，MRI表现对于AWCO的诊断具有特征性，并且在这种大多为良性的疾病中可以完全避免进行侵入性检查。对于女性患者X线片上出现可移动钙化灶的所有病例，均应考虑AWCO。我们建议对所有疑似AWCO的病例进行MRI检查以进行准确的无创诊断，并应通过超声进行定期随访。我们病例报告中的发现有可能改变疑似病例的检查和管理流程。
