title: Recurrence of ovarian torsion in a multiple pregnancy: conservative management via transabdominal ultrasound-guided ovarian cyst aspiration.
abstract: 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.
authors.affiliation: University of Texas Medical Branch, Austin, Texas 78727, USA. kmoboswell@gmail.com
authors.forename: Kathleen Marie Osterman
authors.initials: KM
authors.lastname: Boswell
authors.forename: Kaylen Mark
authors.initials: KM
authors.lastname: Silverberg
mesh_terms: 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