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Abstract #1591

Ovarian edema and lymphatic obstruction: increased incidence in patients with large fibroid uterus

Alana Amarosa Lewin1, Genevieve Bennett1, and Nicole Hindman1

1Radiology, New York University School of Medicine, New York, NY, United States

The goal of this investigation was to determine the incidence of findings in asymptomatic patients which were suggestive of outflow obstruction (venous or lymphatic) as evidenced by dilated lymphatics and ovarian engorgement/signs of massive ovarian edema and to correlate these findings with the size of the fibroid uterus as compared to an age matched control population without fibroids. Ovarian edema and/or lymphatic dilatation was noted with increased frequency in asymptomatic patients imaged for fibroid uterus over asymptomatic female patients without a fibroid uterus imaged for other causes (p< 0.0001). Ovarian edema and/or dilated lymphatics in the setting of large fibroid uteri may be due to vascular congestion or lymphatic obstruction. In the absence of pain and symptoms concerning for ovarian torsion, we postulate that these are incidental findings and recommend conservative management as opposed to immediate surgical exploration.

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