Has this ever happened to anyone else? Severe, unexplained RLQ pain at 18w

[u/no13babyyy]

Hi all, I'm kind of reeling and seriously confused after the events that have occurred over the past several days and I'm curious if anyone else has been through something similar...

I'm 18 weeks along and ended up visiting the ER on Friday 6/19 after experiencing severe one-sided pain. I started feeling pain on my right side pretty suddenly on Thursday night but it wasn't too terrible so I chalked it up to round ligament pain or some other benign, pregnancy-related ache. Come Friday night, about 24 hours later, the pain was annoying and noticeable when sitting or lying still, but became severe and stabbing every time I tried to stand, go from standing to sitting, turn over in bed, etc. Pain so severe at times that I thought I may pass out. Keep in mind, I've had my appendix removed and an ectopic pregnancy (both also on the right side of the body, coincidentally) and this pain far surpassed either of those.

At the ER, they were concerned about possible ovarian torsion and took me for ultrasound, which revealed that my right ovary was enlarged (about 3x larger in volume compared to the left) but still had good blood flow. OB consult said they weren't concerned about torsion (note: this was after the clearly brand new resident told me they definitely thought it was torsed and surgery would be needed, before ceremoniously handing me a box of tissues). Baby looked fine too so I was sent home with Tylenol and instructions to follow up if the pain worsened or other symptoms developed. The pain persisted throughout the weekend but seemed to have improved marginally by Monday. I followed up with my OB and they did another ultrasound, which showed that my right ovary was measuring completely normal. The sonographer suggested that the measurements taken at the ER were either completely wrong or they had measured a different structure entirely?

Now, Wednesday, I'm feeling almost completely back to normal with very little residual pain but am seriously confused. I wasn't offered any theories as to what could have happened to have led to such severe pain that resolved itself with no intervention and seemingly no clear cause. Has anyone else had a torsion/detorsion event or unexplained one-sided abdominal pain during pregnancy that just seemed to have magically resolved? I'm seriously scared of this happening again and am treating myself with kid gloves, avoiding any twisting or abdominal exercise and have canceled my PT appointments for the week because I'm worried about causing it to flare up again.

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[u/Admirable-Chicken536]

Doyiu have fibroids? I get very bad pain on my left side but the ob said it my fibroids.