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Ovarian torsion — RCPSC EM MCQ

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ModerateOB/GYN emergenciesOvarian torsionRCPSC EM

A 21-year-old woman has sudden severe unilateral pelvic pain with vomiting. Pregnancy test is negative, Doppler ultrasound shows an enlarged ovary with peripheral follicles and reduced venous flow. Pain persists despite opioids. What is the most appropriate next step?

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Correct answer: C — Urgent gynaecology consultation for diagnostic laparoscopy

Ovarian torsion is a surgical diagnosis and Doppler flow can be misleading. Persistent severe unilateral pain with supportive ultrasound requires urgent gynaecology assessment for detorsion.

Reference: SOGC adnexal torsion practice; emergency gynaecology consensus