PMC6877964_01
Absent Doppler flow to the enlarged left ovary.
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fig1
Abdominal ultrasound was normal; however, the pelvic ultrasound showed an enlarged left ovary (59 x 51 x 54 mm) with diffuse hyperechogenicstroma, peripheral displacement of the follicles, and a hypoechoic rim and minimal fluid in the pelvis (Figure 1). Doppler was done and showed a nearly absent flow to the left ovary (Figure 1).
Dark purple discoloration of left ovary.
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A 20-week-sized uterus and the left adnexal torsion (ovary and tube) were visualized with dark purple discoloration of the ovary (Figure 2).
Gradual return of blood flow to the left ovary.
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fig3
A gradual return to normal coloration of the ovary was noted 6 minutes after detorsion (Figure 3).
Complete return of blood flow to the left ovary.
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This was followed by a complete return to normal coloration after 10 minutes (Figure 4) with sufficient hemostasis assured.