Bryn Mawr Hospital Department of Radiology, Bryn Mawr, PA, USA.
Riddle Memorial Hospital Department of Radiology, Media, PA, USA.
Emerg Radiol. 2020 Oct;27(5):569-572. doi: 10.1007/s10140-020-01776-3. Epub 2020 Apr 19.
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.
我们描述了一例年轻宫颈癌女性卵巢移位术后卵巢扭转的病例报告。对于因盆腔恶性肿瘤而接受子宫切除术且可能需要接受放射治疗的年轻女性，卵巢移位术是一种成熟的手术。将卵巢移到远离靶区的位置可降低对极其敏感的卵巢的辐射剂量。卵巢移植后发生扭转并不是一种常见的并发症；然而，我们认为对于有卵巢移位术病史且出现侧腹痛或腹痛的女性，临床医生和放射科医生应将扭转纳入鉴别诊断。
