Presentation
Presented to the ER with lower abdominal pain and vomiting for 10 days. The patient was a virgin.
Patient Data
Markedly enlarged right ovary which is centrally located in the pelvis posterior to the uterus. It appears non-enhancing with few peripheral cysts (representing ovarian follicles) and a large cyst seen along its anterior pole (which could represent the lead point).
Engorged vessels on the right twisted side, and right fallopian tube thickening & swirling.
Anterior and rightward uterine deviation. Normal left ovary.
Markedly enlarged right ovary which is centrally located in the pelvis posterior to the uterus. It shows heterogeneous signal with few peripheral cysts (representing ovarian follicles) and a large cyst seen along its anterior pole (which could represent the lead point). It shows a heterogeneous center with central areas of break down and hemorrhage.
Twisted engorged vessels on the right adnexa.
Case Discussion
The girl was taken immediately to the operating room which confirmed right ovarian torsion. She underwent right salpingo-oophorectomy.
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