A
13 years old, single female, presented to our emergency room complaining of
generalized abdominal pain for two weeks. It was colicky in nature, progressive in intensity over time, with no history of fever, nausea, vomiting, or changes in bowel habits. She did not notice any abdominal distension or changes in
weight, but, complained of dysuria for two weeks.
Her menarche was two years
ago and regular menstruation for the past elven months. The vital signs were
within normal. A palpable pelvic-abdominal mass reaching up to the umbilicus,non-tender, mobile with no skin changes was found on abdominal examination.
Ultrasound of the abdomen and pelvis revealed a normal, retroverted uterus,
three multiple, right sided ovarian cyst, largest measuring 6.3 × 7.3 cm and
5.6 × 6.3 cm, and Left hyper-echogenic ovarian cyst measuring 12.5 × 7.8 cm
with some projections inside the cavity.
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