A 22-year-old female presents with acute severe left lower quadrant pain, nausea, and vomiting. Physical examination reveals exquisite left adnexal tenderness and a palpable 6 cm mass. Color Doppler ultrasound demonstrates absent arterial blood flow to the ovary. What is the diagnosis?
Answer and explanation
Correct answer: A. Ovarian torsion requiring emergency laparoscopic detorsion
- Step 1: Ovarian torsion involves twisting of the ovary and fallopian tube on its vascular pedicle, compromising venous and arterial blood supply.
- Step 2: Sudden unilateral severe pelvic pain with nausea, an adnexal mass, and compromised Doppler flow requires emergent laparoscopic exploration to preserve ovarian tissue.
- Step 3: Delay leads to hemorrhagic infarction and necrosis.
Answer
Ovarian torsion requiring emergency laparoscopic detorsion.
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