Presentation
Complaining of left-sided abdominal pain and vomiting for 1 day.
Patient Data
Age: 20 years
Gender: Female
From the case:
Ovarian torsion
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RIGHT OVARY - 5 cc - Normal follicular pattern
LEFT OVARY - 36 cc
- A hemorrhagic cyst - 25 mm is noted
- Few tiny peripheral follicle is noted.
- No venous or arterial flow is noted
- Twisted pedicle is noted just cranial to ovary.
No adnexal mass lesion is noted.
UTERUS is anteveted. It shows normal echopattern measuring 73 x 32 x 25 mm.
No focal mass lesion in noted.
Endometrial thickness is 3 mm. No endometrial mass lesion / collection is noted.
No free fluid is seen in abdomen / pelvis.
Case Discussion
Laparoscopy - after about 18 - 20 hrs.
- about 6 to 7 twists in left ovarian pedicle
- Necrosed left ovary.
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