For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
28
views
10
references
 Top references
cited by
3
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      487
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Laparoscopic detorsion for bilateral ovarian torsion in a singleton pregnancy with spontaneous ovarian hyperstimulation syndrome

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          A 26-year-old primigravida with a singleton pregnancy of 9 weeks gestation presented with severe lower abdominal pain, following spontaneous hyperstimulation of the ovaries in a natural conception. Emergency laparoscopy was done and bilateral ovarian torsion with retained vascularity was noted. Bilateral detorsion with ovarian puncture and ovariopexy was performed. A review of international literature suggests that this is the first case reported with bilateral ovarian torsion following spontaneous ovarian hyperstimulation syndrome in a singleton pregnancy.

          Related collections

          Most cited references10

          • Record: found
          • Abstract: found
          • Article: not found

          Epidemiology and prevention of ovarian hyperstimulation syndrome (OHSS): a review.

          Annick Delvigne, Serge Rozenberg (2015)
          Ovarian hyperstimulation syndrome (OHSS) is a rare iatrogenic complication of ovarian stimulation occurring during the luteal phase or during early pregnancy. Fortunately, the reported prevalence of the severe form of OHSS is small, ranging from 0.5 to 5%. Nevertheless, as this is an iatrogenic complication of a non-vital treatment with a potentially fatal outcome, the syndrome remains a serious problem for specialists dealing with infertility. The aim of this literature review was to determine whether it is possible to identify patients at risk, and which preventive method should be applied when an exaggerated ovarian response occurs. Data pertaining to the epidemiology and prevention of OHSS in women were searched using Medline, Current Contents and PubMed, and are summarized. Preventive strategies attempt either to limit the dose or concentration of hCG or to find a way to induce luteolysis without inducing a detrimental effect on endometrial and oocyte quality. The following particular preventive strategies were reviewed: cancelling the cycle; coasting; early unilateral ovarian follicular aspiration (EUFA); modifying the methods of ovulation triggering; administration of glucocorticoids, macromolecules and progesterone; cryopreservation of all embryos; and electrocautery or laser vaporization of one or both ovaries.
          Article 0 comments Cited 86 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function.

            Justus B. Cohen, Shlomo Mashiach, David Soriano … (2003)
            Recently detorsion has replaced salpingo-oophorectomy as treatment for the twisted ischaemic adnexa. This paper asssess whether the ovary resumes normal function after preservation by detorsion. The results of detorsion performed between January 1988 and December 2001 were retrospectively analysed. Post-operative complications and subsequent ovarian function were assessed including: ultrasound monitoring of follicular development, adnexal appearance during subsequent surgery, and the outcome of IVF. A total of 102 detorsions were performed; 67 by laparoscopy, 35 by laparotomy. No patient developed thromboembolism. Post-operative fever occurred in 15% of patients after laparoscopy and 29% after laparotomy (P < 0.01). Patients were hospitalized for a mean (+/- SD) of 2.1 +/- 1.2 and 7.4 +/- 1.5 days after laparoscopy and laparotomy respectively (P < 0.001). Ultrasound showed normal follicular development in 93 and 91% of patients after detorsion by laparoscopy and laparotomy respectively. At subsequent surgery, the adnexa appeared normal in nine out of nine patients after laparoscopy and in four out of five patients after laparotomy. Four patients of the laparoscopy group and two patients of the laparotomy group underwent subsequent IVF. In all six patients oocytes retrieved from the previously ischaemic ovary were fertilized. Detorsion with adnexal sparing is the treatment of choice for twisted ischaemic adnexa, and preferably performed by laparoscopy.
            Article 0 comments Cited 34 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation.

              F Albayram, U M Hamper (2001)
              To determine the spectrum of sonographic findings on gray scale and color Doppler sonography in a series of pathologically proven cases of ovarian and adnexal torsion. The study population included 15 patients with surgical confirmation of ovarian or adnexal torsion, or both, who underwent sonographic examination before surgery. All sonograms were reviewed retrospectively. Gray scale abnormalities included the following: complex masses in 11 (73%) of 15 patients, cystic masses in 3 (20%), and a solid mass in 1 (7%). Cul-de-sac fluid was present in 13 (87%) of 15 patients. Adnexal neoplasms were present in 4 (27%) of 15 (1 granulosa cell tumor and 3 dermoid cysts) on pathologic examination. Doppler findings were abnormal in 14 (93%) of 15 patients and normal in 1 (7%). Abnormal Doppler findings included no arterial and no venous flow in 6 (40%) of 15, decreased venous flow with no arterial flow in 5 (33%), decreased venous flow and decreased arterial flow in 2 (13%), and decreased arterial flow with no venous flow in 1 (7%). Small amounts of cul-de-sac fluid were present in 13 (87%) of 15 patients. The diagnosis of ovarian and adnexal torsion remains challenging. It cannot be based solely on the absence or presence of flow on color Doppler sonography, because the presence of arterial or venous flow does not exclude the diagnosis of adnexal torsion. Comparison with the morphologic appearance and flow patterns of the contralateral ovary will aid in diagnosis.
              Article 0 comments Cited 29 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): J Hum Reprod Sci
                Journal ID (iso-abbrev): J Hum Reprod Sci
                Journal ID (publisher-id): JHRS
                Title: Journal of Human Reproductive Sciences
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 0974-1208
                ISSN (Electronic): 1998-4766
                Publication date (Print): Jan-Mar 2014
                Volume: 7
                Issue: 1
                Pages: 66-68
                Affiliations
                [1]Nova IVI Fertility Clinics, Ahmedabad, Gujarat, India
                Author notes
                Address for correspondence: Dr. Pravin Patel, Nova IVI Fertility and Pulse Women's Hospital, 108 Swastik Society, Navrangpura, Ahmedabad - 380 009, Gujarat, India. E-mail: pravin.patel@ 123456novaivifertility.com
                Article
                Publisher ID: JHRS-7-66
                DOI: 10.4103/0974-1208.130870
                PMC ID: 4018802
                PubMed ID: 24829535
                SO-VID: 5586f742-39a2-4d5c-93be-0048154b4ba4
                Copyright © Copyright: © Journal of Human Reproductive Sciences
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 30 August 2013
                Date revision received : 06 November 2013
                Date accepted : 14 January 2014
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Human biology
                Keywords: bilateral ovarian torsion,laparoscopic detorsion,laparoscopic ovariopexy,spontaneous ovarian hyperstimulation syndrome
                Data availability:
                ScienceOpen disciplines: Human biology
                Keywords: bilateral ovarian torsion, laparoscopic detorsion, laparoscopic ovariopexy, spontaneous ovarian hyperstimulation syndrome

                Comments

                Comment on this article

                scite_

                Similar content487

                See all similar

                Cited by3

                See all cited by

                Most referenced authors62

                See all reference authors