Teenager female with acute right lower quadrant pain

Surgical image of ovarian torsion
Surgical laparoscopic image (above) shows an enlarged grayish-white necrotic appearing right ovary in the midline of the pelvis in the center of the image. Upon closer inspection (below) the pedicle of the right ovary is seen to be twisted.

The diagnosis was right ovarian torsion due to an ovarian cyst.