Lower abdominal pain, vomiting - 4 days.
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Free fluid with echoes is present in pelvis .
LEFT ovary is enlarged, oblong in shape, hyperechoic. Few small peripheral follicles are present.
No arterial or venous flow is noted.
Right ovary and uterus are normal.
Findings of an enlarged hyperechoic ovary, peripherally displaced follicles, no intra-ovarian venous flow, fee pelvic fluid with echoes favor the diagnosis of ovarian torsion.
Whirlpool sign of a twisted vascular pedicle could not be demonstrated.
No underlying ovarian lesion was found.
Surgery confirmed findings - ovary was not viable.