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[email protected] 609 WOMEN’S IMAGING Adnexal Torsion: Review of Radio- logic Appearances M. Taufiq Dawood, BSc, MBBS, MRCP, FRCR Adnexal torsion is the twisting of the ovary, and often of the fal- Mitesh Naik, BSc, MBBS, MRCP, lopian tube, on its ligamental supports, resulting in vascular com- FRCR promise and ovarian infarction. The definitive management is Nishat Bharwani, BSc, MBBS, MRCP, surgical detorsion, and prompt diagnosis facilitates preservation FRCR of the ovary, which is particularly important because this condi- Siham A. Sudderuddin, BSc, MBBS, tion predominantly affects premenopausal women. The majority MRCP, FRCR of patients present with severe acute pain, vomiting, and a surgical Andrea G. Rockall, MBBS, MRCP, abdomen, and the diagnosis is often made clinically with corrobora- FRCR tive US. However, the symptoms of adnexal torsion can be variable Victoria R. Stewart, BMedSci, BMBS, and nonspecific, making an early diagnosis challenging unless this MRCP, FRCR condition is clinically suspected. When adnexal torsion is not clini- cally suspected, CT or MRI may be performed. Imaging has an RadioGraphics 2021; 41:609–624 important role in identifying adnexal torsion and accelerating de- https://doi.org/10.1148/rg.2021200118 finitive treatment, particularly in cases in which the diagnosis is not Content Codes: an early consideration. Several imaging features are characteristic From the Department of Radiology, St Mary’s of adnexal torsion and can be seen