I saw the "kissing ovaries" sign: Too close for comfort

Sindhura Tadisetty; Rashmi T Nair; Elhamy R Heba; Adrian Dawkins

doi:10.1016/j.clinimag.2023.04.012

I saw the "kissing ovaries" sign: Too close for comfort

Clin Imaging. 2023 Aug:100:7-9. doi: 10.1016/j.clinimag.2023.04.012. Epub 2023 Apr 25.

Authors

Sindhura Tadisetty¹, Rashmi T Nair², Elhamy R Heba³, Adrian Dawkins⁴

Affiliations

¹ Department of Radiology, University of Kentucky, 800 Rose Street, Lexington, KY 40536, United States of America. Electronic address: Sindhura.tadisetty@gmail.com.
² Department of Radiology, University of Kentucky, 800 Rose Street, Lexington, KY 40536, United States of America. Electronic address: rtna222@uky.edu.
³ Department of Radiology, University of Kentucky, 800 Rose Street, Lexington, KY 40536, United States of America. Electronic address: erheba@uky.edu.
⁴ Department of Radiology, University of Kentucky, 800 Rose Street, Lexington, KY 40536, United States of America. Electronic address: adrian.dawkins@uky.edu.

PMID: 37120923
DOI: 10.1016/j.clinimag.2023.04.012

Abstract

The Kissing ovaries sign is a radiological sign seen in women with deep pelvic endometriosis. It refers to abutment of the ovaries within the cul-de-sac. The term kissing ovaries was first described by Ghezzi et al. (2005) and has been since used widely. When seen on imaging it indicates moderate to severe endometriosis with the ovaries tethered within abnormal pelvic soft tissue, which may warrant surgical management.

Keywords: Cul-de-sac; Endometriosis; Kissing ovaries.

MeSH terms

Douglas' Pouch / surgery
Endometriosis* / diagnostic imaging
Female
Humans
Ovary* / diagnostic imaging
Pelvis