Simultaneous bilateral ovarian torsion in the follicular phase after gonadotropin stimulation

Kang, Hey-Joo; Davis, Owen K.; Rosenwaks, Zev

doi:10.1016/j.fertnstert.2005.12.063

Cited by 15 publications

(12 citation statements)

References 11 publications

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“…Ovarian cysts and neoplasms tend to predispose the ovary to swing on its vascular pedicle more readily, with larger masses generally associated with greater potential for torsion; the right adnexa is most commonly affected (3). Ovulation induction with gonadotropins predisposes the patient to torsion, because ovarian enlargement is common (2,(4)(5)(6). Bilateral torsion, either simultaneously or sequentially, is infrequent, with few cases reported in the literature (2, 7).…”

Section: Discussionmentioning

confidence: 99%

Prevention of recurrent adnexal torsion

Weitzman

Diluigi

Maier

et al. 2008

Fertility and Sterility

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Section: Discussionmentioning

confidence: 99%

Prevention of recurrent adnexal torsion

Weitzman

Diluigi

Maier

et al. 2008

Fertility and Sterility

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“…Although cysts and neoplasms account for over 90% of cases, torsion can also occur in ovaries that appear normal (8). Ovulation induction with gonadotropins predisposes the patient to torsion because of ovarian enlargement (3,(14)(15)(16). Delays in diagnosis and surgical intervention are relatively common with AT because there is a non-specific presentation of cases and no absolute clinical profile.…”

Section: Discussionmentioning

confidence: 99%

Conservative laparoscopic management of adnexal torsion

Karayalçın¹,

Özcan²,

Özyer³

et al. 2011

J Turkish German Gynecol Assoc

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Objective: To evaluate our experience with adnexal torsion (AT) in 36 patients and the outcomes of the patients who were managed conservatively via laparoscopy. Material and Methods: Results:In 29 (80.5%) patients, a preoperative diagnosis of AT was confirmed clinically. The mean age of the patients was 26.5, with a range of 11 to 44. Ovarian blood flow was assessed by color Doppler US ultrasonography in 30 patients preoperatively. In 11 (36.6%) patients, this was found to be normal. In 19 (63.3%) patients, ovarian blood flow was found to be pathological or absent. Laparoscopic conservative treatment was performed in 34 patients. In two patients, salpingo-oophorectomy was performed. No thromboembolic complications were seen. Postoperative ultrasonographic examinations confirmed normal ovarian morphology and Doppler blood flow in all patients with no recurrence. Conclusion:Early diagnosis and treatment are key factors in managing AT. According to the results of the present study, given its demonstrated safety and benefits, in women of reproductive age, a conservative approach of untwisting the adnexa and salvaging the ovary via laparoscopy should be considered in AT cases in which the time from the onset of symptoms to surgery does not exceed 44 hours, regardless of the color and number of twists. Abstract ÖzetOriginal Investigation 4

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“…Since the first successful conservative management of adnexal torsion by laparoscopy was described (4), several other recent reports have also described successful conservative management with this technique (5)(6). Early diagnosis is of utmost importance because it can give us more opportunity to try to preserve ovarian function.…”

Section: Discussionmentioning

confidence: 99%