Jerry Chiricolo, MD FACEP
Chief, Division of Clinical Ultrasound, New York Methodist Hospital, USA
A 26-year-old female, with no significant past medical history, presented to the emergency department complaining of severe lower abdominal pain. It began as moderate intensity, right lower quadrant (RLQ) pain and was associated with her menses beginning six days prior; however, it acutely worsened two hours prior to arrival. The pain was now sharp and localized to the RLQ, and radiated to the lower back. On presentation, the patient appeared in moderate distress with normal vital signs. The patient was evaluated by the emergency medicine physician who elicited right adnexal tenderness on physical examination. The clinical concerns included ovarian torsion and an immediate point-of-care ultrasound was performed.