Lower abdominal pain for 2 days.
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US positive findings of ovarian torsion:
- Enlarged right ovary (compared to the left ovary) with peripherally displaced follicles with hyperechoic central stroma.
- Absent right ovarian Doppler flow with normal flow in left ovary.
- Enlarged and twisted right vascular pedicle (whirlpool sign).
- Mild free pelvic fluid.
Laparoscopy after a few hours has confirmed an infarcted ovary with clots.