title: Successful pregnancy complicated by early and late adnexal torsion after in vitro fertilization.
abstract: OBJECTIVE
  To report a case of unilateral adnexal torsion and subsequent contralateral adnexal torsion after in vitro fertilization.
  
  
  METHODS
  Case report and literature review.
  
  
  METHODS
  Academic fertility center; university hospital.
  
  
  METHODS
  A 28-year-old woman with tubal factor infertility conceived with IVF and experienced mild-to-moderate ovarian hyperstimulation syndrome. Right adnexal torsion occurred at 7 weeks of gestation, and laparoscopic detorsion was performed. Subsequent contralateral adnexal torsion occurred at 19 weeks and was managed with laparotomy and salpingo-oophorectomy.
  
  
  METHODS
  Laparoscopic right adnexal detorsion and laparotomy with salpingo-oophorectomy for left adnexal torsion.
  
  
  METHODS
  Preservation of torsed adnexa and successful pregnancy.
  
  
  RESULTS
  Successful pregnancy and birth complicated by two episodes of adnexal torsion after IVF, and viable right adnexa after laparoscopic detorsion.
  
  
  CONCLUSIONS
  Subsequent contralateral adnexal torsion is a rare complication of IVF and can occur in the second trimester. Data support preservation of the torsed adnexa despite the ovary's appearance.
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut 06520-8063, USA. beth.rackow@yale.edu
authors.forename: Beth W
authors.initials: BW
authors.lastname: Rackow
authors.forename: Pasquale
authors.initials: P
authors.lastname: Patrizio
mesh_terms: D000290:Adnexa Uteri; D000291:Adnexal Diseases / Q000628:therapy*; D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000150:complications; D010052:Ovariectomy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D014102:Torsion Abnormality