The patient proceeded to the operating theater under the Gynecology unit, where a laparoscopy was performed. The left ovary was confirmed to be torted twice around, with a blue/black appearance. The ovary and adnexa were detorted and the color subsequently improved. The large left ovarian simple cyst was drained. The uterus, right uterine tube and right ovary had normal appearance on laparoscopy.
Case thanks to Dr Alex Jarema and Dr Shamen Gunawardena.