DCDA pregnancy co-twin demise and ovarian torsion

Case contributed by Alexandra Stanislavsky
Diagnosis almost certain

Presentation

Pelvic pain in early pregnancy.

Patient Data

Age: 30 years
Gender: Female

DCDA pregnancy.

Twin A 20mm CRL - no HR, consistent with early demise.

Enlarged, edematous right ovary consistent with ovarian torsion.

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