A 27-year-old woman has sudden severe unilateral pelvic pain with nausea and vomiting. Pregnancy test is negative. Pelvic ultrasound shows an

Question

A 27-year-old woman has sudden severe unilateral pelvic pain with nausea and vomiting. Pregnancy test is negative. Pelvic ultrasound shows an enlarged right ovary with peripheral follicles and reduced venous flow. She is afebrile. Which of the following is the most likely diagnosis?

Accepted Answer

Ovarian torsion

Answer

Urinary tract infection

Answer

Pelvic inflammatory disease

Answer

Ruptured ovarian follicle without torsion

Answer

Endometriosis

Ovarian torsion — USMLE Step 3 MCQ

A 27-year-old woman has sudden severe unilateral pelvic pain with nausea and vomiting. Pregnancy test is negative. Pelvic ultrasound shows an enlarged right ovary with peripheral follicles and reduced venous flow. She is afebrile. Which of the following is the most likely diagnosis?