Ovarian torsion in the first trimester gravidity after stimulation in vitro fertilization – case report

Czech version

Authors: R. Jarošová; J. Mašata
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in: Ceska Gynekol 2009; 74(6): 437-439

Overview

Objective:
To direct attention to ovarian torsion as one of the causes of acute gynecological disorder after ovarian stimulation in vitro fertilization in the first trimester.

Design:
Case report.

Settings:
Department of Gynecology and Obstetrics, First faculty of Medicine, Charles University and General Teaching Hospital, Prague.

Subject and method:
We present the case of a pregnant pacient after ovarian stimulation in vitro fertilization when delay in determining the diagnosis led to ovarectomy.

Conslusion:
Although ovarian torsion is not a frequent cause of acute abdominal pain, it should be borne in mind during the process of differential diagnosis - especially with woman after ovarian stimulation in vitro fertilization. In order to save the ovary is important to determine the diagnosis in time and carry out laparoscopy revision with detorsion of the twisted ovary. This case is intended to draw attention to the clinical characteristics and findings which accompany torsion, thus potentially reducing the time which elapses from pacient admission to surgery.

Key words:
ovarian torsion, OHSS, ovarian stimulation, laparoscopic intervention.

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