Isolated torsion of the fallopian tube in a patient with polycystic ovarian syndrome (PCOS)

Tay, J.; Parker, Helen L.; Dhange, P.; Paton-Forrester, Calum; Atiomo, William

doi:10.1016/j.ejogrb.2010.02.043

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…Three studies determined the incidence of OT after IVF to be 0.08-0.13% (24)(25)(26). A few case reports of OT associated with PCOS have been reported, but the correlation between PCOS and OT is not strongly shown (27,28). But in our study all of the 10 cases were PCOS.…”

Section: Resultscontrasting

confidence: 47%

Retrospective analysis of ovarian torsion incidence in 5186 women undergoing controlled ovarian hyperstimulation

Güngör¹,

Yurci

Güçlü

2021

Journal of Health Sciences and Medicine

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Aim: Ovarian torsion (OT) is one of the common gynecologic emergencies in reproductive age women. In our study, it is aimed to make a retrospective evaluation of OT cases developed after controlled ovarian stimulation (COH) for in vitro fertilization (IVF) treatment. Material and Method:This retrospective study was carried out in an IVF clinic between January 2015-December 2020 . Ten cases who definitely diagnosed as OT were included in this study. The medical records of these patients were examined. Data were analyzed according to demographic, clinicopathological, and sonographic findings.Results: Ten of 5186 IVF patients developed OT (10/5186; 0.19%) and all OT cases were PCOS. The mean age of OT patients was 27.3±4.1years and the mean body mass index (BMI) was 23.5±6.2 kg/m2 respectively. The mean number of retrieved oocytes was 21.46±4.12. The average diameter of the twisted ovaries of patients was 121.4±56.1 mm. Laparoscopy was performed in all OT patients for detorsion of the ovaries. It was found that OT occurred more frequently on the right side (8/10; 80%). Conclusion:OT is more common in cases with polycystic ovary syndrome (PCOS). The risk of OT is reduced by decreasing gonadotropin dosage as well as retrieved number of oocyte. Also, prefering frozen-thawed embryo transfer can decrease OT risk in PCOS patients.

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Section: Resultscontrasting

confidence: 47%

Retrospective analysis of ovarian torsion incidence in 5186 women undergoing controlled ovarian hyperstimulation

Güngör¹,

Yurci

Güçlü

2021

Journal of Health Sciences and Medicine

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“…An exploratory laparoscopy revealed that the woman had isolated left fallopian tube torsion. Following successful detorsion, the patient reported symptom absence at the six-week follow-up [ 28 ].…”

Section: Ovarian Torsion In Polycystic Ovary Syndromementioning

confidence: 99%

Ovarian Torsion in Polycystic Ovary Syndrome: A Potential Threat?

Psilopatis,

Damaskos,

Garmpis

et al. 2023

Biomedicines

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Polycystic ovary syndrome (PCOS) constitutes the most prevalent endocrine disorder in women of reproductive age worldwide. Given the increased risk of ovarian torsion in the presence of large ovarian cysts, polycystic ovarian syndrome could be regarded as one of the most significant risk factors for ovarian and/or adnexal torsion in cases of significantly enlarged ovaries. The aim of the present review is to investigate, for the first time, the association between polycystic ovarian syndrome and ovarian torsion. We performed a review of the literature using the MEDLINE and LIVIVO databases in order to find relevant studies. By using the search terms “polycystic ovarian syndrome” and “ovarian torsion”, we were able to identify 14 studies published between 1995 and 2019. The present work constitutes the most up-to-date, comprehensive literature review focusing on the risk of ovarian/adnexal torsion in patients with polycystic ovaries. Ovarian/adnexal torsion seems to be a feared complication in patients with polycystic ovary syndrome. Acute lower abdominal pain in patients with known polycystic ovaries represents the most common symptom, while diagnostic assessment almost always incorporates transvaginal ultrasound and computer tomography or magnetic resonance tomography scans. In case of suspected torsion, emergency laparoscopy with ovarian or adnexal detorsion seems to be the standard therapeutic approach with a view to restitute the interrupted blood supply. In cases of repeated ovarian/adnexal torsions, ovariopexy or ovariectomy/adnexectomy had to be discussed with the patient in the context of risk recurrence minimization.

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“…As expected, when the ovarian mass becomes too large or adheres to the surrounding organs, as in endometrioma, tubo-ovarian abscess, or cancer, the torsion rate declines [6]. A few case reports of adnexal torsion associated with polycystic ovarian syndrome have been reported, but the correlation between polycystic ovarian syndrome and torsion is not firmly established [7,8]. This might may be due to the increased size of the ovary, and resulting hypermobility [9].…”

Section: Introductionmentioning

confidence: 99%

Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study

Yaniv

Schonmann

Agizim

et al. 2018

Gynecol Obstet Invest

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Study Objective: The study aimed to evaluate whether there is an association between the ovarian ligament length and ovarian torsion. Design: This is a prospective cohort study. Design Classification: II.2. Setting: The study was conducted in the gynecology department of a university affiliated hospital. Intervention: We measured the length of the ovarian ligaments during laparoscopy. Patients: A total of 56 women were recruited, of which 28 women were operated for ovarian torsion (torsion group) and 28 others for other gynecologic conditions (control group). Measurement and Main Results: The study found correlations between ovarian ligament length and ovarian torsion. The length of the right (2.2 ± 0.6 cm) and left ovarian ligament (2.3 ± 0.8 cm) in the control patients were similar. Ovarian torsions occurred mainly on the right side (67.9 %). The right ovarian ligament was significantly longer in the torsion group (3.2 ± 0.9 cm) than in the control group (2.2 ± 0.6 cm; p < 0.001). Even after exclusion of patients with ovarian cyst, the ovarian ligament was still significantly longer in the torsion group as compared to the control group (3.2 ± 1.1 vs. 2.2 ± 0.6 cm respectively, p = 0.01). Conclusion: Our results suggest that increased length of ovarian ligament might be correlated with the development of ovarian torsion. This could be a basis for ovarian ligament fixation or oophoropexy at the time of conservative surgery for ovarian torsion.

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Isolated torsion of the fallopian tube in a patient with polycystic ovarian syndrome (PCOS)

Cited by 4 publications

References 2 publications

Retrospective analysis of ovarian torsion incidence in 5186 women undergoing controlled ovarian hyperstimulation

Retrospective analysis of ovarian torsion incidence in 5186 women undergoing controlled ovarian hyperstimulation

Ovarian Torsion in Polycystic Ovary Syndrome: A Potential Threat?

Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study

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