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Ovarian torsion

Case contributed by Dr Maulik S Patel

Presentation

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

Patient Data

Age: 20
Gender: Female
Ultrasound

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.

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Case information

rID: 28924
Published: 22nd Apr 2014
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included

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