title: Ovarian torsion after laparoscopic ovarian transposition in patients with gynecologic cancer: a report of two cases.
abstract: Ovarian transposition has proven to be a safe method for preserving ovarian function in young premenopausal women who require pelvic irradiation for treatment of early stage malignancies. We report 2 cases of ovarian torsion after laparoscopic ovarian transposition in 2 young women scheduled for chemotherapy and radiation therapy for treatment of cervical or vaginal cancer. We believe these are the first such cases reported in the literature. In discussions with patients regarding the risks and potential benefits of ovarian transposition, ovarian torsion should be included as a possible, although rare, complication.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Móstoles, Móstoles, Madrid, Spain.
authors.forename: Natalia Rodriguez
authors.initials: NR
authors.lastname: Gómez-Hidalgo
authors.affiliation: Department of Obstetrics and Gynecology, British Hospital of Buenos Aires, Buenos Aires, Argentina.
authors.forename: Maria Cecilia
authors.initials: MC
authors.lastname: Darin
authors.affiliation: Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
authors.forename: Heather
authors.initials: H
authors.lastname: Dalton
authors.affiliation: Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
authors.forename: Anuja
authors.initials: A
authors.lastname: Jhingran
authors.affiliation: Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
authors.forename: Nicole
authors.initials: N
authors.lastname: Fleming
authors.affiliation: Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
authors.forename: Jubilee
authors.initials: J
authors.lastname: Brown
authors.affiliation: Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address: peramire@mdanderson.org.
authors.forename: Pedro T
authors.initials: PT
authors.lastname: Ramirez
mesh_terms: D000328:Adult; D059186:Chemoradiotherapy, Adjuvant; D037001:Directive Counseling; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000517:prevention & control*; D010535:Laparoscopy; D059351:Organ Sparing Treatments; D010049:Ovarian Diseases / Q000473:pathology*; D010053:Ovary / Q000473:pathology* / Q000528:radiation effects / Q000601:surgery; D010388:Pelvis / Q000528:radiation effects*; D017697:Premenopause; D054159:Torsion, Mechanical; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery
keywords: Ovarian oopheropexy; Ovarian torsion; Transposition