FDG PET/CT in a Case of Post-Hysterectomy Adnexal Torsion.
Jiani He, Xue Zhang, Aisheng Dong
✦ AI-curated · Sources linked
Case in brief
A 33-year-old woman, previously treated for a right ovarian yolk sac tumor, underwent FDG PET/CT to assess a suspected left ovarian metastasis. Imaging revealed an irregular solid mass with distinct activity patterns. However, surgical intervention confirmed left adnexal torsion with necrosis and hemorrhage, but no malignancy was found.
What made this case unusual
The imaging findings included unique ring-like and tennis racket-like activity patterns, which contributed to the initial suspicion of malignancy.
Diagnostic / clinical pearl
Clinicians should consider adnexal torsion in patients with a history of ovarian tumors, as imaging may mimic malignancy.
Why it matters
This case highlights the importance of correlating imaging findings with clinical presentation and surgical findings to avoid misdiagnosis.