title: Simultaneous bilateral ovarian torsion in the follicular phase after gonadotropin stimulation.
abstract: OBJECTIVE
  To present and discuss the first report of follicular phase bilateral ovarian torsion following a cancelled IVF cycle.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University-based assisted reproductive technology program.
  
  
  METHODS
  A 41-year-old nulligravid patient on day 3 of her menses following a cancelled IVF cycle.
  
  
  METHODS
  Gonadotropin ovulation induction; laparoscopy with detorsion of left and right ovaries; aspiration of cysts.
  
  
  RESULTS
  Ovarian torsion resolved; follicular development in the following natural cycle.
  
  
  CONCLUSIONS
  This is a unique case of simultaneous bilateral ovarian torsion following a cancelled IVF cycle and presenting in the ensuing follicular phase. Physicians should be aware of this unusual risk related to persistently enlarged ovaries in the cycle following gonadotropin stimulation. Furthermore, management of the infertility patient should be conservative and focused on ovarian preservation whenever feasible. Early surgical intervention can permit reperfusion and salvage of the affected adnexa.
authors.affiliation: The Center for Reproductive Medicine and Infertility, Weill Cornell Medical Center, New York, New York 10021, USA. heyjookang@hotmail.com
authors.forename: Hey-Joo
authors.initials: HJ
authors.lastname: Kang
authors.forename: Owen K
authors.initials: OK
authors.lastname: Davis
authors.forename: Zev
authors.initials: Z
authors.lastname: Rosenwaks
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D004632:Emergency Medical Services; D005260:Female; D005307:Fertilization in Vitro; D005498:Follicular Phase; D006062:Gonadotropins / Q000009:adverse effects* / Q000627:therapeutic use*; D006801:Humans; D007231:Infant, Newborn; D007247:Infertility, Female / Q000628:therapy*; D010535:Laparoscopy; D008297:Male; D010049:Ovarian Diseases / Q000139:chemically induced* / Q000150:complications / Q000601:surgery; D010062:Ovulation Induction / Q000009:adverse effects*; D011247:Pregnancy; D011256:Pregnancy Outcome; D014102:Torsion Abnormality; D016896:Treatment Outcome
chemical_list: D006062:Gonadotropins