EURORAD ESR

Case 15625

Spoke wheel ovaries in ovarian hyperstimulation syndrome

Author(s)
Bibin Sebastian, Arun George, Deepali Saxena, Ravi Hoisala

St. John's Medical College Hospital,
St. John's National Academy of Health Sciences,
Department of Radiodiagnosis & Imaging;
Koramangala 560034 Bangalore, India;
Email:drbibinsebastian@gmail.com
 
Patient
female, 24 year(s)
 
 
  • Figure 1
    USG: Bilateral 'spoke-wheel' appearance of the ovaries

    Transabdominal pelvic ultrasound reveals bilateral 'spoke wheel' appearance of the ovaries. There is echogenic content in the cysts that layers in the dependent position(arrows) and the ascites is echogenic.

     
    Area of Interest: Pelvis; Imaging Technique: Ultrasound; Procedure: Treatment effects; Special Focus: Pathology;
     
     
  • Figure 2
    USG: Severe ascites and pleural effusion

    Severe ascites with pleural effusion (arrow) are noted in the abdominal ultrasound examination.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Treatment effects; Special Focus: Inflammation;
     
     
  • Figure 3
    CECT: Bilateral 'spoke-wheel' ovaries

    Contrast-enhanced computed tomography in the axial plane reveals bilaterally enlarged multicystic ovaries showing a 'spoke wheel' appearance. Ascites is also seen.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Oedema;
     
     
  • Figure 4
    Plain CT

    Muliple cyst haemorrhages: Fluid-blood levels. Unenhanced computed tomography in the axial plane reveals 'spoke wheel' ovaries with mulitple cysts showing hyperdense dependent levels indicating intracystic haemorrhage.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Blood;
     
     
Transabdominal pelvic ultrasound reveals bilateral 'spoke wheel' appearance of the ovaries. There is echogenic content in the cysts that layers in the dependent position(arrows) and the ascites is echogenic.
 
Severe ascites with pleural effusion (arrow) are noted in the abdominal ultrasound examination.
 
Contrast-enhanced computed tomography in the axial plane reveals bilaterally enlarged multicystic ovaries showing a 'spoke wheel' appearance. Ascites is also seen.
 
Muliple cyst haemorrhages: Fluid-blood levels. Unenhanced computed tomography in the axial plane reveals 'spoke wheel' ovaries with mulitple cysts showing hyperdense dependent levels indicating intracystic haemorrhage.
 
 
 
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