Female school ager with left lower quadrant abdominal pain and an abdominal mass

US and CT of ovarian dysgerminoma with torsion
Transverse and sagittal US of the pelvis (above) shows an echogenic and inhomgenous solid mass superior to the bladder. Neither ovary could be visualized. Axial CT with contrast of the abdomen shows a solid non-enhancing midline mass. The mass was found to be tossed in the operating room.

The diagnosis was an ovarian dysgerminoma which was found to be torsed in the operating room.