IMR Press / CEOG / Volume 40 / Issue 4 / pii/1630389134802-1287142872

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Ovarian torsion associated with cessation of hormonal treatment for polycystic ovarian syndrome: a case report
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1 Department of Obstetrics and Gynecology, Kagawa National Children’s Hospital, Kagawa
2 Department of Obstetrics and Gynecology, Social Insurance Kinan Hospital, Wakayama
3 Department of Obstetrics and Gynecology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima (Japan)
Clin. Exp. Obstet. Gynecol. 2013, 40(4), 609–611;
Published: 10 December 2013
Abstract

Torsion of an ovary or fallopian tube (adnexal torsion) usually occurs in ovaries with tumors or functional cysts. In polycystic ovarian syndrome (PCOS), the ovaries are bilaterally enlarged, but these enlarged ovaries rarely twist. Recently, the authors encountered a PCOS patient with ovarian torsion after the cessation of Kaufmann treatment. The etiological factors were unclear, but the authors suggest that the increase in ovarian volume was due to transient hypergonadotropic feedback. Thus, more attention should be paid to adnexal torsion that may arise subsequent to transient hypergonadtropic states, in relation to the cessation of hormonal treatment, and enlarged ovaries in PCOS patients.
Keywords
Polycystic ovarian syndrome
Contraception
Ovarian torsion
Ovarian hyperstimulation syndrome
Ovarian cysts
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