Conservative management of adnexal torsion via transvaginal ultrasound guided ovarian cyst aspiration in patients with ovarian hyperstimulation.
OBJECTIVE
To report the successful conservative management of two patients with acute adnexal torsion by ultrasound-guided transvaginal ovarian cystic aspiration.


METHODS
Case report.


METHODS
A reproductive medical center.


METHODS
Two women with OHSS who had acute lower abdominal pain, nausea, and vomiting, and were found to have acute adnexal torsion.


METHODS
An ultrasound-guided transvaginal ovarian cystic aspiration was performed promptly.


METHODS
The clinical symptoms of acute adnexal torsion after the procedure.


RESULTS
After the cystic aspiration, acute lower abdominal pain, nausea, and vomiting were relieved immediately. The postoperative course was normal. Neither of the patients had clinical signs of pelvic or systemic thromboembolism.


CONCLUSIONS
Ultrasound-guided transvaginal ovarian cystic aspiration is a simple, safe, and effective method for the conservative management of adnexal torsion.
Zhu
Wenjie
W
Department of Reproductive Medical Centre, ShenZhen Maternity and Child Healthcare Hospital, Shenzhen, People's Republic of China. zhuwenjie542004@yahoo.com.cn
Li
Xuemei
X
Chen
Xiumin
X
Fu
Zhihong
Z
D000328:Adult; D005260:Female; D006801:Humans; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D010049:Ovarian Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D013396:Suction; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D018084:Ultrasonography, Interventional / Q000379:methods*; D014618:Vacuum