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Ovarian Follicle: Twirling Microfilaria’s New Abode

  • Sachin KhanduriEmail author
  • Namrata Nigam
  • Mazhar Khan
  • Anvisha Shukla
  • Ekta Tyagi
  • Tariq Ahmad Imam
  • Shobha Khanduri
Case Report
  • 3 Downloads

Case Report

A 26-year-old female, married and having two children resident of Lucknow, Uttar Pradesh, presented with chronic pelvic pain and polymenorrhoea since 2 months. Clinical examination revealed right-sided pelvic tenderness. On per vaginal examination, uterus was normal in size with right forniceal tenderness. Patient was advised ultrasound whole abdomen for which she was referred to our department.

Diagnosis

Ultrasound whole abdomen revealed bilateral bulky ovaries with 12–15 follicles measuring 4–5 mm arranged peripherally. Right ovary measured 42 × 30 × 28 mm (vol 19 cc) and left ovary measured 44 × 27 × 23 mm (vol 15 cc). Twirling motion was noted within one of the follicles in the right ovary.

Transvaginal ultrasonography was performed for confirmation. Transvaginal ultrasonography revealed bilateral bulky ovaries with multiple tiny follicles of varying sizes (Fig.  1). One of the follicles in the right ovary had a few echogenic foci within showing twirling movement on...

Notes

Compliance with Ethical Standards

Conflict of interest

Dr. Sachin Khanduri, Dr. Namrata Nigam, Dr. Mazhar Khan, Dr. Anvisha Shukla, Dr. Ekta Tyagi, Dr. Tariq Ahmad Imam and Dr. Shobha Khanduri declare that they have no conflict of interest.

Ethical Standard

All procedures were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).

Human and Animal Rights

This article does not contain any studies with human or animal subjects.

Informed Consent

Informed consent was obtained from the patient for being included in the study.

Supplementary material

Video 1

Filarial dance sign (MP4 560 kb)

Video 2

Colour Doppler on real-time transvaginal ultrasonography (MP4 546 kb)

Video 3

Colour Doppler on real-time transvaginal ultrasonography post-treatment (WMV 744 kb)

References

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Copyright information

© Federation of Obstetric & Gynecological Societies of India 2019

Authors and Affiliations

  • Sachin Khanduri
    • 1
    Email author
  • Namrata Nigam
    • 2
  • Mazhar Khan
    • 1
  • Anvisha Shukla
    • 1
  • Ekta Tyagi
    • 1
  • Tariq Ahmad Imam
    • 1
  • Shobha Khanduri
    • 3
  1. 1.Department of RadiodiagnosisEra’s Lucknow Medical College and HospitalLucknowIndia
  2. 2.Dr. Namrata DiagnosticsAliganj, LucknowIndia
  3. 3.Department of PathologyEra’s Lucknow Medical College and HospitalLucknowIndia

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