Presentation
Severe RIF pain. Positive Rovsing sign. beta-HCG negative.
Patient Data
Transabdominal and transvaginal scanning were performed with the patient's consent.
The right ovary is enlarged and echogenic with peripherally displaced follicles. The ovary is medialised, lying almost posterior to the uterus, and approximates the left ovary. Some vascularity is present. No normal right ovarian parenchyma is visible. The right Fallopian tube is enlarged. Moderate volume of free fluid throughout the pelvis.
The left ovary has multiple follicles and is mildly enlarged. No adnexal mass.
The anteverted uterus is normal. The endometrial stripe is uniform and not thickened.
The appendix is not identified. Both kidneys appear normal and are unobstructed.
Case Discussion
The gynecology team took the patient for a cat 1 laparoscopy which reported:
enlarged right ovary containing a cyst and dilated edematous right Fallopian tube - both torsed in a complex posterior to the uterus
dilated/edematous right fallopian tube with possible adhesion causing stricture attaching tube to infundibulopelvic ligament
bulky left ovary, nil discreet cyst, ? polycystic
normal left fallopian tube
otherwise normal pelvis
The right ovary and fallopian tube were detorted with normal color returning immediately. The right ovary was then found to subsequently be bulky with a possible ruptured cyst. The cyst contents were debulked and removed.
The patient had an unremarkable post-operative recovery.
Unable to process the form. Check for errors and try again.