IMR Press / CEOG / Volume 44 / Issue 1 / DOI: 10.12891/ceog3010.2017

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
Adnexal torsion in early pregnancy after assisted reproduction: can the adnexa be saved?
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1 Department of Obstetrics and Gynecology, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Seoul, Republic of Korea
Clin. Exp. Obstet. Gynecol. 2017, 44(1), 135–137; https://doi.org/10.12891/ceog3010.2017
Published: 10 February 2017
Abstract

Adnexal torsion occurs when the ovary and fallopian tube twist on the axis created between the infundibulopelvic ligament and the utero-ovarian ligament. The symptoms are mostly unspecific and diagnosis is therefore not simple. Early diagnosis is essential to preserve organ function and fertility. The increased use of assisted reproductive technologies has led to an increase in the risk of adnexal torsion, particularly in pregnant women or women with ovarian hyperstimulation syndrome (OHSS). A gestational age eight-week pregnant woman who received in vitro fertilization (IVF) came to the clinic and was suspected of adnexal torsion. The patient underwent an operation and the biopsy histologically confirmed ischemia. Here the authors report a case with comparison to other studies, the early diagnosis, and early operation that could save adnexa.
Keywords
Adnexal torsion
Early pregnancy
In vitro fertilization
Ovarian hyperstimulation syndrome
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