Conservative management of adnexal torsion via transvaginal ultrasound guided ovarian cyst aspiration in patients with ovarian hyperstimulation

Conservative laparoscopic management of adnexal torsion based on a 17-year follow-up experience

“…As found in our cases, the ischaemic-haemorrhagic appearance of the adnexa does not indicate necrosis, which is likely secondary to venous-lymphatic stasis, rather than gangrene. 4,14 Even if the adnexa is twisted for longer than 7 hours, as in case 2, conservative management should also be attempted. After untwisting the pedicle, detecting an improvement in colour indicates an improvement in blood supply and conservation.…”

“…21 An enlarged ovary due to exogenous gonadotropin stimulation is an important factor for adnexal torsion, which is a contributing factor to the increasing torsion rate in patients with OHSS. 14 For these infertile women, ovarian preservation is especially important because adnexectomy will jeopardize their fertility, lead to dissatisfaction, and even cause medical disputes and ethical events. We managed our situation by untwisting based on our 17-year follow-up experience, and the patients recovered well with preservation of their fertility.…”

Ovarian torsion during ovarian stimulation prior to trigger followed by successful oocyte retrieval: A case report

“…These aforementioned cases where torsion occurs prior to retrieval are rare, as most cases of ovarian torsion in IVF patients occur after retrieval, with presentation any time from 5 days after retrieval to 5 weeks after embryo transfer [ 14 , 15 ]. Torsion after retrieval may be more common due to persistence of corpus luteal cysts, especially in a setting of ongoing pregnancy [ 18 ].…”

Recurrence of ovarian torsion in a multiple pregnancy: conservative management via transabdominal ultrasound–guided ovarian cyst aspiration

“…Zhu et al (12) described treatment of two pregnant patients with presumed ovarian torsion by transvaginal ultrasoundguided ovarian cyst aspiration with subsequent symptom relief. In their report, one of the women lost her fetus (12). It is possible that transvaginal manipulation may increase the risk of uterine disruption and loss of the fetus.…”