Reduction of ovarian torsion 1 week after embryo transfer in a patient with bilateral hyperstimulated ovaries.

OBJECTIVE

To report a rare case of unilateral ovarian torsion 1 week after embryo transfer in a patient with bilateral hyperstimulated ovaries.

DESIGN

Case report and literature review.

SETTING

Reproductive Endocrine division in a university teaching hospital.

PATIENT(S): Infertility patients undergoing IVF-ET.

INTERVENTION(S): Laparoscopic reduction of adnexa 1 week after ET.

MAIN OUTCOME MEASURE(S): Successful preservation of the affected adnexa.

RESULT(S): Delivery of 3.324 kg male infant with preservation of the affected ovary.

CONCLUSION(S): Untwisting of the affected ovary at laparoscopy without aspiration reduction of cystic masses is appropriate. The outcome of the pregnancy (even very early) in patients with torsion of the adnexa may be favorable after a laparoscopic unwinding of the affected adnexa.