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 Indian J Med Microbiol  
 

Figure 10 (A-C): A 25-year-old female with 23 weeks of gestation presented with acute RIF pain and tenderness. (A) USG shows a heterogeneous echogenic mass (star) anterior to the right side of the uterus (bent arrow). CDI shows presence of bridging vessel sign (straight arrow). Right ovary was not visualized separate from the mass. USG differential diagnosis was adnexal mass or leiomyoma. (B) Fat-saturated T2W axial image shows an ovoid mass (straight white arrow) in the RIF. Mass is heterogeneous with ill-defined dark areas (black arrows) within and surrounding edema. The normal appendix (curved arrow) is seen posteriorly. (C) Sagittal T2W image shows a thickened heterogeneous pedicle (black arrow) with dark areas of hemorrhage. It forms a beaked protrusion on the superior aspect of mass (white arrow). MRI findings suggested right ovarian torsion with hemorrhagic infarction. A gangrenous ovary was removed laparoscopically (RIF, Right iliac fossa)

Figure 10 (A-C): A 25-year-old female with 23 weeks of gestation presented with acute RIF pain and tenderness. (A) USG shows a heterogeneous echogenic mass (star) anterior to the right side of the uterus (bent arrow). CDI shows presence of bridging vessel sign (straight arrow). Right ovary was not visualized separate from the mass. USG differential diagnosis was adnexal mass or leiomyoma. (B) Fat-saturated T2W axial image shows an ovoid mass 
(straight white arrow) in the RIF. Mass is heterogeneous with ill-defined dark areas (black arrows) within and surrounding edema. The normal appendix (curved arrow) is seen posteriorly. (C) Sagittal T2W image shows a thickened heterogeneous pedicle (black arrow) with dark areas of hemorrhage. It forms a beaked protrusion on the superior aspect of mass (white arrow). MRI findings suggested right ovarian torsion with hemorrhagic infarction. A gangrenous ovary was removed laparoscopically (RIF, Right iliac fossa)