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Fig. 5 —50-year-old woman with torsion of left adnexa manifesting as acute left abdominal pain. Contrast-enhanced CT scan shows left ovarian mass (LO) crossing midline to right side. Twisted vascular pedicle and dilated fallopian tube (arrow) are evident to left of mass. Uterus (U) is deviated to side of torsed adnexa. Right ovary, which contains small simple cyst (asterisk), is in normal location. At surgery, ovary and fallopian tube were found to be torsed, and underlying mass was found. Pathologic examination revealed necrosis of left ovary and fallopian tube with ovarian mucinous cystadenoma.