Acute torsion of the uterine adnexal structures (ovary and fallopian tube) is a recognized surgical emergency, but rarely has the diagnosis been made preoperatively on the basis of imaging studies.

Her BMI was 32. Her pelvic exam was unremarkable, including no evidence for clitoromegaly, but her uterus and adnexa were very difficult to assess secondary to the patient's morbid obesity.