A 37-year-old lady arrives at the emergency room complaining of acute right lower quadrant discomfort and abrupt onset nausea. Following activity, the discomfort started about an hour ago and has since gotten much worse. The patient is healthy and has never undergone surgery before. Her last period was 3 weeks ago, and she does not take contraception. Both the blood pressure and the pulse are 136/94 mm Hg. Over the right lower quadrant of the abdomen, there is palpable tenderness. Right ovarian tumor shown on pelvic ultrasonography; no blood flow to ovary. The picture below displays the specimen made during a right oophorectomy and diagnostic laparoscopy: Which of the following is the most likely diagnosis?

Question

A 37-year-old lady arrives at the emergency room complaining of acute right lower quadrant discomfort and abrupt onset nausea. Following activity, the discomfort started about an hour ago and has since gotten much worse. The patient is healthy and has never undergone surgery before. Her last period was 3 weeks ago, and she does not take contraception. Both the blood pressure and the pulse are 136/94 mm Hg. Over the right lower quadrant of the abdomen, there is palpable tenderness. Right ovarian tumor shown on pelvic ultrasonography; no blood flow to ovary. The picture below displays the specimen made during a right oophorectomy and diagnostic laparoscopy:  Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: The characteristic physical appearance of mature cystic teratomas, or dermoid cysts, is a multicystic mass comprising yellow sebaceous fluid, solid components (such as teeth, cartilage), and hair. Patients who are impacted have a higher chance of ovarian torsion while frequently showing no symptoms.

A 37-Year-Old Lady Arrives at the Emergency Room Complaining of Acute