A 30 yrs old female, presents to the emergency with complaint of sudden severe abdominal pain; an abdominal mass is palpable on examination; Most likely diagnosis is:: (A) Torsion of subserous fibroid, (B) Twisted ovarian cyst, (C) Rupture of ectopic preg, (D) Rupture of ovarian cyst
Answer is B. The history of sudden onset of pain abdomen points towards a Torsion Present as a palpable mass because torsion occurs mostly in cysts which are more than 8 to 10 cms size. MC tumour to show torsion: Dermoids C/f : Acute abdominal Pain, Fever, Vomiting Rx Surgical Emergency Requiring Urgent Laparotomy Detorsion of ovary and Ovariopexy after removal of tumour should be attempted