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Acute abdomen in early pregnancy due to ovarian torsion following successful in vitro fertilization treatment
- Source :
- Taiwanese Journal of Obstetrics & Gynecology, Vol 54, Iss 4, Pp 438-441 (2015)
- Publisher :
- Published by Elsevier B.V.
-
Abstract
- Objective Ovarian torsion is an acute abdomen requiring prompt intervention. Ovarian torsion seldom occurs during pregnancy. However, with in vitro fertilization (IVF) treatments, ovarian hyperstimulation may increase the size of the ovaries and result in the occurrence of adnexal torsion. Here, we report two cases of ovarian torsion after IVF and discuss the optimal management of this emergency medical condition. Case Report The first case was a 23-year-old woman who received IVF–embryo transfer due to tubal factor infertility. Sudden-onset, lower abdominal pain developed at the 6th week of pregnancy. Conservative treatment with antibiotics was the initial approach, but a right oophorectomy had to be performed due to right ovarian torsion with hemorrhagic and gangrenous changes. The second case was a 38-year-old woman diagnosed with bilateral ovarian torsion at 8 weeks' gestation due to the sudden onset of low abdominal pain. Laparoscopy was arranged immediately after the diagnosis was confirmed. The left ovary was successfully preserved due to prompt intervention. Both pregnancies continued without problems after surgery. Conclusion Ovarian hyperstimulation during IVF–embryo transfer treatment is a risk factor for developing adnexal torsion. Early diagnosis and prompt surgical intervention is the only way to protect the ovary and preserve the pregnancy. Laparoscopic surgery in early pregnancy causes no harm to the fetus and should be encouraged once the diagnosis is confirmed. Delaying surgery may induce serious infection and jeopardize the lives of both the fetus and mother.
- Subjects :
- Laparoscopic surgery
Adult
medicine.medical_specialty
Abdominal pain
medicine.medical_treatment
Ovariectomy
Torsion, Mechanical
laparoscopy
Gestational Age
Fertilization in Vitro
Risk Assessment
Severity of Illness Index
lcsh:Gynecology and obstetrics
Sampling Studies
Fetal Development
in vitro fertilization
Ovarian Hyperstimulation Syndrome
Young Adult
Obstetrics and Gynaecology
medicine
Humans
Ovarian Diseases
Laparoscopy
Emergency Treatment
ovarian hyperstimulation
lcsh:RG1-991
Monitoring, Physiologic
Ultrasonography
Abdomen, Acute
Pregnancy
In vitro fertilisation
medicine.diagnostic_test
Obstetrics
business.industry
Ovarian torsion
Pregnancy Outcome
Obstetrics and Gynecology
Tubal factor infertility
medicine.disease
female genital diseases and pregnancy complications
Surgery
Pregnancy Complications
Acute abdomen
ovarian torsion
Female
pregnancy
medicine.symptom
business
Emergency Service, Hospital
Subjects
Details
- Language :
- English
- ISSN :
- 10284559
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Taiwanese Journal of Obstetrics and Gynecology
- Accession number :
- edsair.doi.dedup.....1d36881371fe45174f9776d0875a5e68
- Full Text :
- https://doi.org/10.1016/j.tjog.2013.08.013