Simultaneous bilateral ovarian torsion in the follicular phase after gonadotropin stimulation.
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.
Kang
Hey-Joo
HJ
The Center for Reproductive Medicine and Infertility, Weill Cornell Medical Center, New York, New York 10021, USA. heyjookang@hotmail.com
Davis
Owen K
OK
Rosenwaks
Zev
Z
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
D006062:Gonadotropins