title: Adnexal torsion in a woman undergoing ovarian hyperstimulation with clomiphene citrate therapy: a case report and review of the literature.
abstract: Ovarian stimulation is a unique aid for patients treated for anovulation and an important tool in various assisted reproduction treatments. Clomiphene citrate, an orally active, non-steroidal triphenylethylene derivate, is a commonly prescribed agent for ovulation induction. Clomiphene citrate is considered a safe agent and has rarely been associated with significant side effects. This report describes a case of unilateral adnexal torsion after ovulation induction with clomiphene citrate; we performed unwinding of the adnexum, which appeared ischemic via laparoscopy. Unfortunately, the affected adnexum became hemorrhagic after this approach, which invariably led to its resection.
authors: Chii-Shinn
authors: CS
authors: Shiau
authors: Yu-Hsin
authors: YH
authors: Huang
authors: Ming-Yang
authors: MY
authors: Chang
authors: Liang-Ming
authors: LM
authors: Lo
authors: T'sang-T'ang
authors: TT
authors: Hsieh
authors: Chia-Lin
authors: CL
authors: Hsieh
mesh_terms: D000290:Adnexa Uteri / Q000187:drug effects* / Q000503:physiopathology / Q000601:surgery; D000328:Adult; D002996:Clomiphene / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D005300:Fertility Agents, Female / Q000008:administration & dosage / Q000009:adverse effects*; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D016471:Ovarian Hyperstimulation Syndrome / Q000139:chemically induced*; D010062:Ovulation Induction / Q000009:adverse effects*; D054159:Torsion, Mechanical; D016896:Treatment Outcome
chemical_list: D005300:Fertility Agents, Female; D002996:Clomiphene