Ultrasound-guided transvaginal aspiration as initial treatment for adnexal torsion following ovarian hyperstimulation.
OBJECTIVE
To evaluate the safety, feasibility, and pregnancy outcomes of adnexal detorsion using simple aspiration following ovarian hyperstimulation in pregnancy.


METHODS
Retrospective review of eight pregnant women who underwent ultrasound (US)-guided transvaginal aspiration to induce natural reduction of ovarian torsion following ovarian hyperstimulation.


RESULTS
Six of the eight patients were successfully treated with simple aspiration only, without any complications. Symptoms recurred in two patients, necessitating further laparoscopic detorsion. The outcome of the pregnancy was normal in seven women, with the eighth experiencing loss of one fetus from a twin pregnancy 2 days after laparoscopy. Normal ovarian blood flow was confirmed within one month after the treatment.


CONCLUSIONS
US-guided transvaginal aspiration for adnexal detorsion in pregnant women following ovarian stimulation might serve as a simpler, less morbid and equally effective alternative to conventional treatment.
Department of Obstetrics and Gynecology and Fertility Center, CHA Gangnam Medical Center, CHA University, Seoul, South Korea.
Eun Mi
EM
Chang
Ari
A
Kim
Ji Won
JW
Kim
Tae Ki
TK
Yoon
D000290:Adnexa Uteri / Q000000981:diagnostic imaging*; D000291:Adnexal Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D000328:Adult; D005260:Female; D006801:Humans; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000628:therapy; D016471:Ovarian Hyperstimulation Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D010053:Ovary / Q000098:blood supply; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D013396:Suction; D014102:Torsion Abnormality / Q000000981:diagnostic imaging* / Q000628:therapy*; D016896:Treatment Outcome; D014463:Ultrasonography