Clinical history: 30 years old female presented with sudden onset acute lower abdominal pain for 3 to 4 hours. No h/o vomiting or fever. Normal WBC and urine analysis. Her ultrasound shows normal uterus and left ovary with a cyst. There is abnormal right tubular structure with internal two thin walled cysts and echogenic fluid could represent blood.
DDx: Differential diagnosis were either ectopic pregnancy which been rule out by negative pregnancy test or otherwise ovarian torsion needs to be consider.
Treatment: patient had surgical laproscopy and found to have right ovarian cyst with torsion and distortion however viable ovarian tissue. She had cystectomy done and ovarian tissue were preserved.
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