A 19-year-old female presented to the ED with severe abdominal pain, which started 9 hours before her presentation. Physical examination The patient’s abdominal examination revealed the following: Soft, n ondistended without guarding Presence of rebound tenderness in the suprapubic and left iliac fossa regions Diagnostic test A urine test was negative for beta-human chorionic gonadotropin.
Radiological analysis A CT scan of the abdomen and pelvis revealed: Presence of a hypodense structure adjacent to the left ovary Presence of a small amount of free fluid in the paracolic gutters A transvaginal ultrasound examination showed: An adnexal cystic structure measuring 4.2 cm by 2.2 cm adjacent to the left ovary Other diagnostic tests Diagnostic laparoscopy revealed the left fallopian tube to be Dilated Dusky Twisted three times The right fallopian tube and ovaries were normal. Which of the…
