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Question: ovarian torsion
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A 13 year old girl presents with sudden onset sharp RLQ pain radiating toward her groin, along with nausea and vomiting once, non-bloody, non-bilious.
Kelly March 27, 2018 - 9:32 am
D. Because the ovary has two sources of blood supply, flow may be present even in a torsed ovary. Other ultrasound signs suggestive of torsion include: enlarged or edematous ovary, peripheral displacement of follicles (string-of-pearls sign), ovary at the midline of the abdomen, whirlpool sign of twisted vascular pedicle, free fluid in the pelvis. For additional information: http://pemplaybook.org/podcast/ovarian-torsion/