Ramatu A., 20

She is an empathetic and honest girl, who likes reading and dreaming of becoming a nurse. She was well until a day before the presentation when she started having severe abdominal pain that was associated with nausea and vomiting. The pain was said to prevent her from sleeping and walking. she presented to gynae emergency for proper care.while on examination at the gynae emergency she was weak dehydrated and has right iliac fossa tenderness currently she is on admission at the gynae ward on resuscitation

Ramatu is a kind and bright young girl who spends her days lost in books, dreaming of one day becoming a nurse so she can care for others. But her world turned upside down when she was suddenly struck by excruciating abdominal pain - so severe it left her vomiting, unable to sleep, and barely able to walk. When she arrived at the gynecology emergency ward, doctors found her weak, dehydrated, and in agonizing pain, with tenderness in her right iliac fossa. Tests confirmed a twisted complex ovarian cyst - a dangerous condition where a fluid-filled sac on her ovary had twisted, cutting off blood flow. Without immediate surgery, the pain would worsen, risking permanent damage. The operation was a success. Within hours, Ramatu’s pain eased, and she could finally rest. By the next day, she was sitting up, smiling again - her dream of becoming a nurse still alive.

The case has good prognosis with emergency surgical intervention. Unless, surgery done, the pain will continue to strike harder.she need to have urgent pcv gxm,urgent abdominopelvic uss and