A case report and analysis of ovarian torsion before oocyte retrieval of assisted reproduction

VernacularTitle:辅助生殖助孕取卵前卵巢扭转1例报道及分析
Author: Li TAN ¹ ; Yungai XIANG ; Lanlan CHENG ; Yuxia SONG ; Bin HU ; Bing XIAO ; Guo YU
Author Information

1. 郑州大学第二附属医院生殖医学部　450014
Publication Type:Journal Article
Keywords: Reproductive technology,assisted; Ovarian hyperstimulation syndrome; Ovarian torsion
From: Chinese Journal of Reproduction and Contraception 2021;41(1):71-74
CountryChina
Language:Chinese
Abstract: Objective:To explore the opportunity, diagnosis and treatment of ovarian torsion in assisted reproductive technology.Methods:The clinical data of a case of ovarian torsion before oophorectomy in the Reproductive Center of the Second Affiliated Hospital of Zhengzhou University were analyzed retrospectively and the relevant literatures were reviewed.Results:The patient had a sudden hypogastralgia on the day before oocyte retrieval, and the ovarian torsion was indicated by transvaginal Doppler ultrasound. When the transvaginal puncture decompression was ineffective, laparoscopic surgery was performed in time to restore and fix the ovary.Conclusion:The increase of ovarian volume is a high risk factor for ovarian torsion, and its clinical manifestations are nonspecific. The diagnosis is based on vaginal Doppler ultrasound. Timely reduction and fixation of the torsion under laparoscope can avoid ovarian necrosis resection and prevent postoperative recurrence, which is worthy of clinical application.