A 25-year-old woman has sudden unilateral pelvic pain with vomiting. Pregnancy test is negative. Pelvic ultrasound shows an enlarged right ovary with

Question

A 25-year-old woman has sudden unilateral pelvic pain with vomiting. Pregnancy test is negative. Pelvic ultrasound shows an enlarged right ovary with peripheral follicles and reduced venous flow; pain persists despite opioids. What is the most appropriate next step?

Accepted Answer

Consult gynaecology urgently for suspected ovarian torsion despite imperfect Doppler sensitivity

Answer

Treat with oral fluconazole

Answer

Start anticoagulation for ovarian vein thrombosis

Answer

Arrange routine outpatient ultrasound in six weeks

Answer

Discharge because pregnancy test is negative

Ovarian torsion — RCPSC EM MCQ

A 25-year-old woman has sudden unilateral pelvic pain with vomiting. Pregnancy test is negative. Pelvic ultrasound shows an enlarged right ovary with peripheral follicles and reduced venous flow; pain persists despite opioids. What is the most appropriate next step?