Third trimester torsion of persistent ovarian cyst following ovarian hyperstimulation--an unusual cause of preterm labor.
Herein, a patient being operated for cesarean section due to preterm labor in the 31st week of a triplet pregnancy induced by gonadotropins is being described. On celiotomy, peritoneal effusion was present secondary to torsion of a 10 x 6 cm right ovarian cyst. This uncommon finding contradicts the common belief that the chances for an ovarian cyst in the overcrowded peritoneal space due to a 40-week-size uterus to twist around its pedicle are remote. The possibility that preterm labor was initiated by the torsion is discussed.
Goshen
R
R
Department of OB/Gyn Hadassah, Mount Scopus, Hebrew University, Jerusalem, Israel.
Lavy
Y
Y
Hochner-Celnikier
H
H
Milwidsky
A
A
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007752:Obstetric Labor, Premature / Q000209:etiology* / Q000601:surgery; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications* / Q000453:epidemiology / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000601:surgery; D011263:Pregnancy Trimester, Third; D014102:Torsion Abnormality; D014310:Triplets