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A 20-Year-Old Presented to the Emergency Department Due to Acute

Question 116

Multiple Choice

A 20-year-old presented to the emergency department due to acute left-sided pelvic pain. The pain has a sudden onset character, started while she was preparing her breakfast. It is associated with nausea and vomiting. The pain is exacerbated by movement, and not relieved with analgesics. THer last menstrual period was 2 weeks ago. Her Temperature is 37.8 C (100 F) , her blood pressure is 95/60 mm Hg, and her pulse is 101/min. Pelvic ultrasound reveals enlarged left ovary, with a 7-cm mass. Doppler scan reveals absent blood flow to the left ovary. The patient's presentation is caused by a block of blood flow in which of the following structures?


A) Mesosalpinx
B) Round ligament of the uterus
C) Suspensory ligament of the ovary
D) Transverse cervical ligament
E) Uteroovarian ligament

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