Large ovarian cyst with torsion

Abstract

A 20-year-old, otherwise healthy, G1P1 woman presents to the emergency department complaining of sudden onset right upper quadrant (RUQ) abdominal pain, for the prior 3 h, resolving prior to examination. The pain was associated with nausea and vomiting. For the past month, she had experienced sharp, interment, RUQ pain of fluctuating severity. She denied fevers, chills, dysuria, vaginal bleeding, discharge, or diarrhea. The physical examination was notable for blood pressure of 152/92 mmHg and BMI of 43.9.