Recurrence of ovarian torsion in a multiple pregnancy: conservative management via transabdominal ultrasound-guided ovarian cyst aspiration.
OBJECTIVE
To report a case of recurrent ovarian torsion during a multiple-gestation pregnancy and successful treatment via transabdominal ultrasound-guided ovarian cyst aspiration.


METHODS
Case report and literature review.


METHODS
Tertiary care fertility center.


METHODS
A 33-year-old gravida 2, para 1 woman with a history of ovarian torsion in a previous pregnancy, who presented with recurrent ovarian torsion in the 13th week of a multiple pregnancy.


METHODS
Ultrasound-guided transabdominal ovarian cyst aspiration and body repositioning to allow for spontaneous detorsion.


METHODS
Resolution of the ovarian torsion, as well as preservation of the pregnancy without surgical intervention.


RESULTS
After transabdominal ultrasound-guided cyst aspiration, ovarian detorsion was observed, accompanied by resolution of the patient's acute pain. The remainder of the patient's pregnancy was uncomplicated, culminating in the delivery of healthy infants.


CONCLUSIONS
Conservative treatment of ovarian torsion via ultrasound-guided transabdominal cyst aspiration and body repositioning represents a reasonable alternative to surgical intervention in the pregnant patient.
Boswell
Kathleen Marie Osterman
KM
University of Texas Medical Branch, Austin, Texas 78727, USA. kmoboswell@gmail.com
Silverberg
Kaylen Mark
KM
D000328:Adult; D044963:Biopsy, Fine-Needle / Q000379:methods*; D005260:Female; D006801:Humans; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D010049:Ovarian Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D011272:Pregnancy, Multiple; D012008:Recurrence; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional