A 28-year-old woman has sudden severe unilateral pelvic pain and vomiting. Pregnancy test is negative. Pelvic ultrasound shows an enlarged ovary with

Question

A 28-year-old woman has sudden severe unilateral pelvic pain and vomiting. Pregnancy test is negative. Pelvic ultrasound shows an enlarged ovary with reduced Doppler flow. What is the most appropriate management?

Accepted Answer

Urgent gynaecology assessment for suspected ovarian torsion

Answer

Cervical smear before referral

Answer

Routine outpatient pelvic ultrasound in 6 weeks

Answer

Reassurance and simple analgesia alone

Answer

Oral antibiotics for cystitis

Ovarian torsion — PARA MCQ

A 28-year-old woman has sudden severe unilateral pelvic pain and vomiting. Pregnancy test is negative. Pelvic ultrasound shows an enlarged ovary with reduced Doppler flow. What is the most appropriate management?