PMC5377435_01
Ultrasound: ultrasonography showed dichorionic-diamniotic gestation and an enlarged ovary.
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Ultrasonography showed normal dichorionic-diamniotic gestation and enlarged ovaries (Fig. 1) with absent blood flow in the left ovary and free fluid in the abdominal cavity suggestive of hemoperitoneum.
Surgery: laparoscopic surgery showed the ischemic appearance of the adnexa just after being untwisted.
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The ovaries measured 10 cm and 9 cm, and the left adnexa was twisted around the pedicle and ischemic (Fig. 2); adnexectomy was performed and two liters of blood were aspirated.