Missed our latest free live-stream? Catch up now on our Procedure Tips (Chris Nicholas) and Right Lower Quadrant Pain (Matt Morgan)

Ovarian torsion

Case contributed by Dr Maulik S Patel


Complaining of left-sided abdominal pain and vomiting for 1 day.

Patient Data

Age: 20 years
Gender: Female

RIGHT OVARY -  5 cc    - Normal follicular pattern

LEFT OVARY -  36 cc 
- A hemorrhagic cyst - 25 mm is noted
- Few tiny peripheral follicle is noted.
- No venous or arterial flow is noted 
- Twisted pedicle is noted just cranial to ovary.

No adnexal mass lesion is noted.

UTERUS is anteveted. It shows normal echopattern measuring  73 x 32 x 25 mm. 

No focal mass lesion in noted. 
Endometrial thickness is 3 mm. No endometrial mass lesion / collection is noted.

No free fluid is seen in abdomen / pelvis.


Case Discussion

Laparoscopy - after about 18 - 20 hrs.

                     - about 6 to 7 twists in left ovarian pedicle

                     - Necrosed left ovary.

PlayAdd to Share

Case information

rID: 28924
Published: 22nd Apr 2014
Last edited: 8th Aug 2020
System: Gynaecology
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.