Ovarian torsion

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Dull aching right flank pain for 3 days. No other complaints.

Patient Data

Age: 8 years
Gender: Female

Pelvic ultrasound

ultrasound

US positive findings: 

  • enlarged right ovary (21 cc) as compared to the left ovary (3 cc)
  • enlarged right pedicle
  • absent flow in right ovary with normal flow in left ovary
  • fluid in the pelvis with tiny echoes

Case Discussion

Laparoscopy after a few hours has confirmed an infarcted right ovary with clots. 

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