A 16-year-old female complains of sudden left-sided lower quadrant abdominal pain. Her last menstrual period was 2 weeks ago. On physical examination, the abdomen is nontender with no masses and no organomegaly. Bowel sounds are normal in four quadrants. Pelvic examination shows mild left lower quadrant tenderness. Pregnancy test is negative. These signs and symptoms are consistent with:

Question

Quizplus · Accepted Answer

The symptoms described are consistent with a follicular cyst, which can cause sudden, unilateral lower quadrant abdominal pain in the middle of the menstrual cycle (around 2 weeks after the last period, coinciding with ovulation). The negative pregnancy test, absence of masses or organomegaly, and specific timing of the pain relative to the menstrual cycle further support this diagnosis over the others listed.

A 16-Year-Old Female Complains of Sudden Left-Sided Lower Quadrant Abdominal