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Medical City Arlington
pelvic pain, inguinal hematoma
Internal Medicine | Obstetrics and Gynecology
This is a report of a 36-year-old female who presented with severe, acute onset pelvic pain and prominent bruising on her left groin area following intercourse. Transvaginal ultrasound revealed the presence of a left ovarian cyst and lack of arterial blood flow to the left ovary, indicating the possibility of a left ovarian torsion. The patient underwent diagnostic laparoscopy with left oophorectomy. However, during the procedure an aberrant vessel was identified branching from the left IP ligament, running through the inguinal canal, and terminating at the anterior abdominal wall. Intraoperatively the vessel was ligated, and the patient ultimately recovered without complications. At the time of post operative evaluation, the patient was without any recurring symptoms. This case report examines an unusual presentation of symptoms mimicking ovarian torsion with accompanying ipsilateral subcutaneous inguinal hematoma secondary to aberrant pelvic vasculature.
HCA Healthcare Graduate Medical Education
Stallworth, Chrystal; Panzanaro, Victoria; and Kremer, Timothy, "An Unusual Presentation of Subcutaneous Inguinal Hematoma Mimicking Ovarian Torsion: A Case Report and Review of Literature" (2023). North Texas Research Forum 2023. 18.