A 24-year-old nulliparous woman presents to the emergency department with sudden-onset, severe left lower abdominal pain and vomiting for 3 hours. Transvaginal ultrasound with color Doppler shows an enlarged left ovary (8 cm) with peripherally displaced follicles and heterogeneous edematous stroma. The structure marked **B** in the diagram—the twisted vascular pedicle—is visualized as concentric hypoechoic rings. Which of the following best explains the pathophysiologic consequence of this finding if left untreated?
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