Investigation and work-up
Initial laboratory investigations revealed normal total leukocyte count
(10,300/ mm3, normal range:
4000-11000/mm3), low hemoglobin concentration (6.2
g/dl; normal range: 12-18), decreased packed cell volume (19.5%, normal
range: 36-54%). All other blood investigations were within normal
limits. Her urine pregnancy test done was negative. Her beta-HCG (Human
Chorionic Gonadotropins) levels were normal. Ultrasonography showed
twisted, enlarged, oedematous, thickened right ovary with reduced blood
flow. The patient’s left ovary was normal.
Based on clinical history, physical examinations, laboratory
investigations, and imaging, the pre-operative diagnosis of the torsion
of right dermoid cyst was made and she was planned for exploratory
laparotomy and right ovary reconstruction.