Features are consistent with multiple mature ovarian teratomas complicated with right tubo-ovarian torsion.

The patient underwent emergency laparotomy, where multiple bilateral ovarian teratomas with hemorrhagic changes were confirmed and removed. The right ovary and fallopian tube found to be twisted several times and non-salvagable. 

Ovarian teratomas (dermoid) represent the most common ovarian germ cell neoplasm. The term teratoma and dermoid are commonly used interchangeably, although, are histologically different.

Resection is advised for teratomas more than 7 cm to avoid complications such as rupture or torsion.