New SBA / EMQs on Ovarian Torsion

A 24-year-old woman presents with sudden-onset severe right lower abdominal pain and vomiting. She has no known medical conditions and is not pregnant. Transvaginal ultrasound shows an enlarged, normal-appearing right ovary with peripheral follicles and reduced venous flow. Laparoscopy confirms ovarian torsion. The ovary is detorsed and found to be normal, with no cyst or mass. No further surgical intervention is performed. She is now recovering and asks about the chances of this happening again in the future. What is the approximate risk of recurrence of ovarian torsion in this scenario?

• A 19-year-old woman presents with a second episode of sudden-onset left iliac fossa pain and vomiting within six months. She previously underwent laparoscopic detorsion for left ovarian torsion with a normal-appearing ovary and no cysts. This time, transvaginal ultrasound again shows an enlarged left ovary with peripheral follicles, and Doppler flow is reduced. She is haemodynamically stable and not pregnant.