Abstract
Adnexal torsion is a gynecological emergency. It is dened as the partial or complete rotation of the adnexa around its ovarian vascular axis that may cause an interruption in the ovarian blood ow.1 With a reported prevalence of 2.7% in all cases of acute abdominal pain, adnexal torsion is the fth most common gynecological emergency.2 Early diagnosis is extremely important in all cases for the vitality of ovary but is more signicant in young women since it may dictate future fertility. Diagnosis of ovarian torsion is extremely challenging. Patients can have variable and nonspecic clinical symptoms making the differential diagnosis enigmatic. Hence clinical suspicion and timely intervention are very crucial .We report a case where there was failure to recognize ovarian torsion as a differential diagnosis during initial assessment.
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