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case_images: (A-C) Transvaginal ultrasound examination in the 6th week of gestation revealed a viable, singleton intrauterine pregnancy. The crown-rump length was 5.0 mm, and the patient had bilateral enlarged ovaries (right: 6.9 cm x 4.5 cm, left: 4.5 cm x 3.2 cm) with scanty ascites. Doppler ultrasonography revealed normal ovarian blood flow.
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case_images: Doppler ultrasonography revealed normal ovarian blood flow (Fig. 1A-C).
case_images: (A) A small amount of ascites was present, and the uterus appeared about normal large and shape. (B) The left ovary was cystic and slightly enlarged (4 cm x 3 cm) but appeared intact, with no evidence of torsion.
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case_images: The uterus appeared normal in size and shape (Fig. 2A). The left ovary was cystic and slightly enlarged with no evidence of torsion (Fig. 2B).
case_images: (A-D) The right ovary was twisted once around over the pedicle and was 6.4 cm x 4.0 cm in diameter. The right ovarian wall was twisted and showed hemorrhagic and congestive changes but no necrosis. Laparoscopic detorsion was performed carefully, and the twisted right ovary was released with relative ease. The ovary's ischemic bluish color improved quickly.
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case_images: The ischemic bluish color of the ovary improved quickly (Fig. 3A-D).