Pregnant Woman With Sudden Right Abdominal Pain

A 30-year-old woman at 29 weeks' gestation presented to the emergency department with sudden right-sided abdominal pain. She had a tender abdomen and a WBC count of 14.2×109/L. Emergency transvaginal ultrasonography showed a well-defined mass (Figure 1, left panel) with follicles, and with obvious vascularity (Figure 1, right panel) in the right abdomen. There was a similar mass behind the cervix. Pelvic magnetic resonance imaging (MRI) showed that both ovaries were enlarged, with uneven signal (Figure 2).

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