What can happen to a functional ovarian cyst if it undergoes torsion?

When a functional ovarian cyst undergoes torsion, it can lead to significant complications, one of which is the presentation of severe abdominal pain and nausea. Torsion occurs when the cyst twists on its supporting tissues, cutting off its blood supply. This lack of blood flow can result in necrosis of the ovarian tissue, leading to intense pain, which may be accompanied by nausea due to the inflammatory process and irritation of surrounding tissues.

Additionally, the acute onset of pain often prompts a further clinical evaluation, as it may mimic other serious conditions such as appendicitis or ectopic pregnancy, necessitating prompt recognition and management. The severity of the symptoms directly correlates with the degree of torsion and the time since the blood supply was compromised. Therefore, experiencing severe abdominal pain and nausea is a hallmark of this condition, making it a critical symptom to recognize in clinical practice.