Adnexal torsion in a patient with hydrosalpinx who underwent tubal occlusion before in vitro fertilization.
OBJECTIVE
To report a rare case of adnexal torsion in an infertile patient with bilateral hydrosalpinges who had proximal tubal occlusion performed before IVF-ET 5 years earlier.


METHODS
A case report and literature review.


METHODS
Reproductive endocrine division in a community teaching hospital.


METHODS
A 43-year-old infertile woman with acute left-side pelvic pain.


METHODS
Laparoscopic bilateral salpingectomies.


METHODS
Diagnosis and etiology of pelvic pain with subsequent therapy to alleviate symptoms.


RESULTS
The patient experienced resolution of her pain and prophylactic prevention of further torsion status after bilateral salpingectomies.


CONCLUSIONS
Although laparoscopic proximal tubal occlusion is an effective treatment of hydrosalpinges in patients undergoing IVF-ET, it carries the risk of torsion of the hydrosalpinx and the associated morbidities.
LaCombe
Julie
J
Department of Obstetrics and Gynecology, Stamford Hospital, Connecticut 06904, USA.
Ginsburg
Frances
F
D000291:Adnexal Diseases / Q000601:surgery*; D000328:Adult; D004624:Embryo Transfer; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D008297:Male; D014102:Torsion Abnormality