Q:

A 28 year old woman comes with sudden onset vomiting and pain per abdomen. Examination: mobile swelling in the right iliac fossa. What is the most probable diagnosis?

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A 28 year old woman comes with sudden onset vomiting and pain per abdomen. Examination: mobile swelling in the right iliac fossa. What is the most probable diagnosis?


  1. Ectopic pregnancy
  2. Tubo-ovarian abscess
  3. Acute appendicitis
  4. Ovarian torsion
  5. Diverticulitis

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The key is D. Ovarian torsion. [As there is no history of amenorrhea ectopic pregnancy is less likely. So dx is possible ovarian torsion].

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