"Follow the Fallopian tube": A technique to improve sonographic identification of ovaries in children

J Clin Ultrasound. 2021 Jan;49(1):33-37. doi: 10.1002/jcu.22906. Epub 2020 Aug 21.

Abstract

Ovary detection is the first step in confirming ovarian lesions. The daughter cyst sign is widely used for this purpose; however, it is not always applicable. Recent improvements in image resolution allow Fallopian tube delineation, which can serve as a guide to identify the ovary. This anatomical approach ("follow the Fallopian tube" technique) comprises three steps: (1) confirm the uterus; (2) follow the Fallopian tube; and (3) find the ovary. Other applications of this approach include the differentiation between nonovarian and ovarian masses and ruling out ovarian torsion and an auto-amputated ovary.

Keywords: daughter cyst sign; ovarian tumor; ovary; pediatrics; sonography.

Publication types

  • Review

MeSH terms

  • Child
  • Fallopian Tubes / diagnostic imaging*
  • Female
  • Humans
  • Ovarian Cysts / diagnosis*
  • Ovarian Neoplasms / diagnosis*
  • Ovarian Torsion / diagnosis*
  • Ultrasonography / methods*