title: Adnexal torsion in a patient with hydrosalpinx who underwent tubal occlusion before in vitro fertilization.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Stamford Hospital, Connecticut 06904, USA.
authors.forename: Julie
authors.initials: J
authors.lastname: LaCombe
authors.forename: Frances
authors.initials: F
authors.lastname: Ginsburg
mesh_terms: 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