A 24-year-old woman has sudden severe unilateral pelvic pain and vomiting. Pregnancy test is negative. Ultrasound shows an enlarged ovary with

Question

A 24-year-old woman has sudden severe unilateral pelvic pain and vomiting. Pregnancy test is negative. Ultrasound shows an enlarged ovary with reduced Doppler flow. Which of the following is the most appropriate next step in management?

Accepted Answer

Urgent diagnostic laparoscopy with detorsion

Answer

Outpatient oral antibiotics

Answer

Repeat ultrasound in 3 months

Answer

Start combined oral contraceptives and observe

Answer

Perform colonoscopy

Ovarian torsion — USMLE Step 3 MCQ

A 24-year-old woman has sudden severe unilateral pelvic pain and vomiting. Pregnancy test is negative. Ultrasound shows an enlarged ovary with reduced Doppler flow. Which of the following is the most appropriate next step in management?