age

Clinical features

Duration

Of pain

Pain localization

ultrasound

Doppler (flow)

cause

surgery

Score points

1

24

Pelvic pain

5 hours

RLQ

Ovarian edema

+

No cause

None

Spontaneous detorsion

60

2

30

Pelvic pain

1 day

RLQ

Peripheral echogenic follicles

Ovarian cyst = 8 cm

+

cyst

detorsion and Cystectomy

65

3

35

abdominal pain

vomiting

Fever

22 weeks of pregnancy

2 days

Diffuse abdominal pain

Pelvic mass

Right ovary edema

Abnormal ovarian location (anterior to the uterus)

Free fluid in Douglas pouch

+

Appendicular peritonitis

Appendectomy

detorsion Cystectomy

60

4

26

Pelvic pain

Nausea

vomiting

leucorrhoea

12 hours

RLQ

Ovarian cyst = 4 cm

+

cyst

detorsion Cystectomy

35

5

24

Pelvic pain

1 day

LLQ

Enlarged ovary

-

No cause

detorsion None

40

6

30

Pelvic pain

vomiting

8 hours

RLQ

Ovarian edema

Peripheral echogenic follicles

-

Not reported

detorsion None

80

7

38

Pelvic pain

Pelvic mass

2 days

LLQ

Enlarged ovary

-

No cause

detorsion None

40

8

25

Pelvic pain

vomiting

1 day

LLQ

Ovarian cyst = 6 cm

+

cyst

detorsion Cystectomy

85

9

33

Pelvic pain

Nausea

vomiting

3 days

RLQ

Ovarian edema

Heterogenic ovary

Ovarian cyst = 10 cm

-

cyst

detorsion oophorectomy

85

10

24

Pelvic pain

Not reported

RLQ

Normal ovary

+

cyst

Detorsion

Cystectomy

40

11

31

Pelvic pain

2 hours

RLQ

Ovarian cyst = 5 cm

Ovarian edema

+

cyst

Detorsion

Cystectomy

85

12

25

Pelvic pain

1 day

RLQ

Ovarian cyst = 6 cm

+

cyst

Detorsion

cystectomy

65

13

24

Pelvic pain

8 hours

RLQ

Ovarian edema

Ovarian cyst = 6 cm

+

Hemorrhagic cyst

-

85

14

30

Pelvic pain

vomiting

5 hours

RLQ

Ovarian edema

+

appendicitis

appendectomy

80

15

30

Pelvic pain

Vomitinig

35 weeks of pregnancy

7 hours

RLQ

Swollen appendage

+

intestinal constriction on bridle

Intestinal release

80

16

28

Pelvic pain

metrorrhagia

2 days

LLQ

Ovarian cyst = 8 cm

+

Hemorrhagic cyst

Analgesic

Good evolution

40

17

29

Pelvic pain

leucorrhoea

3 days

LLQ

Ovarian abscess

+

Ovarian abscess

Abdominal wash

Abscess drainage

15