QuestionSBA
QuestionChoice
Ovarian torsion presents with acute abdominal pain with nausea and vomiting. There will be signs of tachycardia and pyrexia due to ischaemia. Infarction to the ovary has occurred at the time of surgery, but salpingo-oophorectomy is the usual treatment.
10000891
a
Ovarian torsion
QuestionChoice
Ectopic pregnancies may present with pain, bleeding, or missed period. It is an important differential to rule out with a pregnancy test.
10000895
e
Ectopic pregnancy
QuestionChoice
Ovarian rupture may present similarly to this, however, symptoms depend on amount and character of cyst contents that are released. It is unlikely to be this as, if the cyst had ruptured, it would not be palpable. If symptoms are mild, conservative management is an option, but patients should be monitored for signs of peritonitis.
10000893
c
Rupture
QuestionChoice
Fibroids are not found in the ovary, but in and around the uterus. The most common symptom is vaginal bleeding after menopause.
10000894
d
Fibroid
QuestionChoice
People with ovarian cancer often present with abdominal bloating, which may be shown as trouble eating or feeling full too quick. They may also have other features of cancer, such as weight loss and fatigue. It is unlikely to present acutely.
10000892
b
Cancer
Concept
Chapter
2693
3845
Ovarian cyst rupture
Topic
176
Gynaecology
12725
A 12-year-old girl presents to A&E with abdominal pain and vomiting. She is known to have an ovarian cyst. On examination, she shows guarding and rigidity, and a mass is palpable. A pregnancy test is negative. Vitals show a heart rate of 134 BPM and a temperature of 38.2 C.

What is the likely ovarian cause?
a