Presentation
Lower abdominal pain for 2 days.
Patient Data
Age: 11 years
Gender: Female
From the case:
Ovarian torsion
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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
Case Discussion
Laparoscopy after a few hours has confirmed an infarcted ovary with clots.
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