17 Y.O Female Patient With Twisted Left Ovarian Pedicle

Left ovarian avascular cystic mass 71x68mm , with adjacent left adnexal mass 30x30mm , picture mostly of twisted ovarian pedicle , associated with free fluid >40ml  , please for further study to excluded other pathology 

Right ovary normal in size, no mature or dominant follicle

Pelvic MRI With IV Gd:

Lt ovary is enlarged and edematous, contains 7cm thin wall unilocular cyst “ORADS 1”, there is twisting of its vascular pedicle, picture of ovarian torsion. 

operation

EN