A 23-year-old woman presents with acute onset right lower quadrant abdominal pain, nausea, and vomiting. She had menarche at age 13 and her last menst...

Question

A 23-year-old woman presents with acute onset right lower quadrant abdominal pain, nausea, and vomiting. She had menarche at age 13 and her last menstrual period was 2 weeks ago. Pelvic ultrasound shows a 7 cm right ovarian cyst with absent Doppler flow. Which is the most appropriate management?

Accepted Answer

Urgent diagnostic laparoscopy with detorsion or oophorectomy

Answer

Expectant management with outpatient follow up

Answer

Oral combined hormonal contraceptives to suppress ovulation

Answer

Intravenous antibiotics and observation

Answer

Schedule elective cystectomy in 3 months

us-usmle-step-2 MCQ (SBA): Ovarian torsion

A 23-year-old woman presents with acute onset right lower quadrant abdominal pain, nausea, and vomiting. She had menarche at age 13 and her last menstrual period was 2 weeks ago. Pelvic ultrasound shows a 7 cm right ovarian cyst with absent Doppler flow. Which is the most appropriate management?