This is a photo taken during laparoscopy of an ovarian torsion. Torsion occurs when an ovarian cyst causes the ovary to twist on it's blood supply. This usually causes tremendous pain that brings patients to the emergency room.
Treatment is usually detorsion by laparoscopy .
In this photo, we see an ovary that is literally black and blue from edema and blood. The black color suggests that necrosis has set in, and that the ovary cannot be saved. You can see the ovary at the top of the photo, and a large cyst just below it. Notice the healthy, pink color of the surrounding tissue. This ovary had to be removed, which is seen in the bottom photo.