Adnexal torsion Quiz: Ace Your Exams
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A 33-year-old woman presents to the emergency department with several hours of nausea, vomiting, and severe left lower quadrant colicky abdominal pain that started after she returned from jogging earlier that morning. The patient reports a similar issue a few years ago requiring surgery for “untwisting” the ovary. She has no significant past medical history. Temperature is 37.7 ºC (99.9 ºF), pulse is 114/min, respiratory rate is 20/min, blood pressure is 156/91 mmHg, and SpO2 is 100% on room air. Beta hCG is negative. Abdominal exam reveals moderate tenderness to palpation at the left lower quadrant of the abdomen with guarding and no rebound. A transvaginal ultrasound is performed and shows a left adnexal mass with a whirlpool sign. Laparoscopy confirms left adnexal torsion. The ovary is viable and there is no evidence of ovarian cyst or neoplasm. Which of the following is the best next step in management?
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