Gynaecology | Ovaries and adnexa: Cases, clarity and clinical insight
Tracks
Rm 6 | Virtual
Gynaecology
International Keynote
| Sunday, May 31, 2026 |
| 11:20 AM - 12:00 PM |
| Rm 6 | First Floor |
Speaker
Assoc Prof Ligita Jokubkiene
Senior Consultant O&G
Lund University; Skane University Hospital
Untwisting the diagnosis: Ultrasound in adnexal torsion
11:20 AM - 11:40 AMPresentation Synopsis / Abstract
Ovarian torsion affects 2-3% of women seeking emergency department because of pelvic pain. Key sonographic features are enlarged, edematous ovary, peripherally displaced follicles with a follicular-ring sign, “whirlpool sign (visualization of a twisted vascular pedicle) and possible free fluid in pouch of Douglas. Absence or reduction of intra-ovarian blood flow may support the diagnosis, however, normal Doppler blood flow cannot exclude torsion due to collateral blood supply and absent Doppler blood flow cannot confirm the torsion.
The lecture will cover risk factors, pathogenesis and diagnostics of ovarian torsion and include plenty of ultrasound images illustrating ovarian or adnexal torsion.
The lecture will cover risk factors, pathogenesis and diagnostics of ovarian torsion and include plenty of ultrasound images illustrating ovarian or adnexal torsion.
Biography
Assoc Prof Ligita Jokubkiene |
Lund University; Skane University Hospital
Ligita Jokubkiene is associate professor at Lund university, Sweden and senior consultant in obstetrics and gynecology at the Department of Obstetrics and gynecology, at Skane University Hospital in Malmö, Sweden.
Ligita Jokubkiene is an expert in gynecological and obstetrical ultrasound. She has defended her thesis with the title ”Three-dimensional ultrasound studies of normal and abnormal ovaries” in 2012. Currently she is an active researcher leading several research projects with focus on ultrasound diagnostics in gynecology, particularly on endometriosis diagnostics and education, pelvic floor birth-related injuries and pelvic pain. She is also participating in international multicenter studies lead by IOTA, IETA and MUSA groups studying ovarian masses and endometrial and myometrial pathology. Ligita Jokubkiene is supervising master and PhD students.
Ligita Jokubkiene organizes and leads national and international courses on ultrasound diagnostics from basic to advanced level. She has been an invited speaker at many international courses and congresses.
Ligita Jokubkiene is a chair of Educational courses subcommittee at ISUOG (International Society of ultrasound in obstetrics and gynecology), Advisory board member at European Endometriosis league and Board member at IOTAplus. She is also a chair of the Ultrasound reference group at Swedish Society of Obstetrics and gynecology in Sweden.
Ligita Jokubkiene is a chief supervisor of the medical Students at the Faculty of Medicine, Lund University.
Dr Jennifer Alphonse
Senior Lecturer/Sonographer
Central Queensland University
Subtle signs of ovarian cancer: From solid areas to papillary projections
11:40 AM - 12:00 PMPresentation Synopsis / Abstract
We all get that sinking feeling when we first see an ovarian mass on transvaginal ultrasound and in the back of our minds we are thinking "what is that?". Our training kicks in and we start with the basics:
1. Where is it?
2. How big is it?
3. Does it have more than one loculation?
4. What is the echogenicity of the internal contents?
5. Is there wall thickening?
6. Is there vascularity and where is the vascularity?
7. then you come to the solid.....is that a focal solid area or a papillary projection....wait; what is the difference between a "solid area" and a "papillary projection"?
In this lecture images of solid ares and papillary projections will be shown. By the end of this lecture you will hopefully have greater confidence reporting a solid area versus a papillary projection in an ovarian mass.
1. Where is it?
2. How big is it?
3. Does it have more than one loculation?
4. What is the echogenicity of the internal contents?
5. Is there wall thickening?
6. Is there vascularity and where is the vascularity?
7. then you come to the solid.....is that a focal solid area or a papillary projection....wait; what is the difference between a "solid area" and a "papillary projection"?
In this lecture images of solid ares and papillary projections will be shown. By the end of this lecture you will hopefully have greater confidence reporting a solid area versus a papillary projection in an ovarian mass.
Biography
Dr Jennifer Alphonse FASA |
Central Queensland University
Dr. Jennifer Alphonse is a generally trained sonographer with a passion for education, research and advanced clinical practice. Jennifer has worked in general practice, a dedicated paediatric practice and for more than 20 years in a specialist O&G practice. In 2015 Jennifer completed a PhD which included five publications. From 2013 to 2019 Jennifer was a research sonographer, extending to an adjunct lecturer appointment at University of NSW until 2022.
Currently Jennifer is a senior lecturer at CQU and Jennifer and is currently co-supervising both Masters and PhD Candidates enrolled at CQ University. Jennifer is a manuscript peer reviewer, well published and currently working on research publications.
Jennifer enjoys teaching and sharing knowledge and has a particular interest in gynaecological ultrasound having been heard to say “I love an empty uterus” in reference to her enthusiasm for high level gynaecological/pelvic ultrasound. In 2024, Jennifer was the recipient of the ASA Pru Pratten Memorial Lifetime Achievement Award.
