Case Report: Ovarian Torsion Prior to Oocyte Trigger in a Woman Undergoing In Vitro Fertilisation
Background: Ovarian torsion accounts for 2.7% of the surgical emergencies in women1 yet remains a morbid and frequently misdiagnosed condition2. Aim: Here we describe a case of ovarian torsion prior to administration of the trigger in a 35-year-old multigravida undergoing controlled ovarian stimulat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
World Scientific Publishing
2022-09-01
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| Series: | Fertility & Reproduction |
| Online Access: | https://www.worldscientific.com/doi/10.1142/S2661318222741285 |
| Summary: | Background: Ovarian torsion accounts for 2.7% of the surgical emergencies in women1 yet remains a morbid and frequently misdiagnosed condition2. Aim: Here we describe a case of ovarian torsion prior to administration of the trigger in a 35-year-old multigravida undergoing controlled ovarian stimulation on a background of bilateral salpingectomy, along with the outcome of post detorsion oocyte pick up. Result: An antagonist protocol was used with a follicular count on day 12 confirming eight follicles in each of the right and left ovaries. The day prior to the planned GnRH agonist trigger, she developed a sudden onset of severe abdominal pain associated with vomiting. Urgent laparoscopy demonstrated a 720-degree torsion of the right ovary, which was detorted without complication. The patient was discharged home on the same day, a trigger was administered, and oocyte retrieval completed as per schedule. Post torsion 11 oocytes were collected, four from the left and seven from the right, a final embryo cryopreservation rate of 57% from the affected right ovary compared with 50% from the left ovary was achieved. Conclusion: In vitro fertilisation is a recognised risk factor for ovarian torsion2. Here we report the first case of a torsion in a woman prior to the administration of a trigger, who successfully underwent detorsion with salvage of oocytes collection and embryo cryopreservation. |
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| ISSN: | 2661-3182 2661-3174 |