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Ovarian torsion — RCPSC EM MCQ

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ModerateOB/GYN emergenciesOvarian torsionRCPSC EM

A 17-year-old presents CTAS 2 with sudden right pelvic pain and vomiting. Pregnancy test is negative, HR is 112, and pelvic ultrasound shows an enlarged ovary with peripheral follicles; Doppler flow is present. Analgesia partially helps. What is the most appropriate next step?

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Correct answer: E — Call gynaecology urgently for suspected ovarian torsion

Ovarian torsion remains a clinical diagnosis; Doppler flow does not exclude intermittent or partial torsion. Urgent gynaecology assessment is needed.

Reference: SOGC Guideline No. 414 pregnancy of unknown location and ectopic pregnancy