O&G: Emergency Gyanae Flashcards
A 22-year-old woman presents to the Emergency Department with rapid onset abdominal pain. The pain comes and goes in waves, is located in the right iliac fossa and is rated at 7/10 severity. The patient feels nauseous and has vomited twice. Her last menstrual period was 3 weeks ago. Ultrasound imaging of the abdomen reveals a whirlpool pattern in the right iliac fossa. What is the most likely diagnosis?
Ovarian torsion.
/////////////////////////////
In ovarian torsion, vaginal examination may reveal adnexial tenderness
Appendicitis and ectopic pregnancy would not be associated with a whirlpool sign on imaging.
Ovarian hyperstimulation syndrome is associated with other clinical features such as oedema, ascites, and oliguria and may show cystic enlargement of the ovaries on ultrasound.
