A 45-year-old female presents with sudden-onset severe right lower quadrant pain, nausea, and vomiting. She has a history of ovarian cysts. On examination, her abdomen is rigid and tender to the touch. What is the probable diagnosis and the next steps?
The patient's symptoms and history suggest ovarian torsion, a gynecological emergency. Next steps include immediate gynecology consultation and ultrasound to confirm the diagnosis. If confirmed, the patient needs immediate surgical intervention to detorse the ovary and restore blood flow, or if necessary, to remove the necrotic ovary.