The patient was sent to the operating theater upon reporting of the findings. The torsed ovary was confirmed intra-operatively and histopathologically. The patient was followed up and her beta-HCG was increasing and doubling.

Ovarian torsion is a common complication of enlarged ovary. The sonographic findings of ovarian torsion include enlarged ovary, midline displacement of the ovary, echogenic parenchyma, twisted pedicle with or without flow on color-Doppler imaging.