35 yr old female presented with acute pain abdomen of 5 hrs duration, not subsiding with analgesics Previous regular cycles, LMP: 4 days back ML: 2 yrs, Nulligravida O/ E: vitals stable PR 90/min, BP: 120/80 mmHg, CVS/ RS: WNL P/A : midline mass palpable up to the level of umbilicus, not mobile, guarding present, BS heard P/S : cervix and vagina healthy, min bleeding + P/V : uterus size could not be made out, firm mass palpable in the anterior fornix,tender and not mobile Her scan and Doppler reports are attached

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Overian malignancy

its B/L endometrioma
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gynaecologist are the best judge in this case. young patient with ovarian cyst to r/o malignancy

because of her symptoms, its more likely to be torsion of ovarian cyst
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Twisted ovarian cyst.....

twisted ovarian cyst laprotomy and excision of cyst

sudden onset of sever abdominal pain since 5 hrs,not responding to analgesics, indicating that, this shocking pain is due to torsion of ovarian cyst, analgesics antiinflamatory and antibiotics should b started immediatly if no response of these drugs, lepratomy is preferable. Ca 125 is also advisable.

twisted ovarian cyst.

?renal colic pl send for usg and x ray kub

Twisted ovarian cyst. Do CA 125, CT pelvis, laprotomy to be done. Send cyst fluid and cyst wall for Hpe

agree. needs urgent laparotomy for twisted ovarian cyst
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likely to be twisted ovarian cyst / with endometriosis components

Twisted overion cyst needs laparotomy with removal of cyst ,investigate for malignancy

laparotomy was done. Rt ovarian cyst 15* 12 cm, endometriotic with torsion Rt fallopian tube haemorrhagic, congested left ovarian endometriotic cyst of 5*5 cm haemorrhagic peritoneal fluid of ~200 ml
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