Laparoscopic detorsion of the ovary in ovarian hyperstimulation syndrome during the sixth week of gestation: A case report and review

Kanayama, Seiji; Kaniwa, Hiroko; Tomimoto, Masako; Zhang, Bo; Nishioka, Kazuhiro; Oi, Hidekazu

doi:10.1016/j.ijscr.2019.04.051

Cited by 10 publications

(4 citation statements)

References 19 publications

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“…Although surgeries are better avoided in pregnancy, laparoscopic detorsion is safe to be performed in the first trimester of pregnancy as done in this case [ 15 , 16 ]. Successful management of torsion associated with OHSS using this surgical option is reported in several case reports [ 17 ]. With this patient, the return of ovarian blood supply was intraoperatively confirmed by direct observation of ovarian pulsation, and the ovary was deemed safe to be spared.…”

Section: Discussionmentioning

confidence: 99%

Adnexal Torsion Associated With Recurrent Ovarian Hyperstimulation Syndrome: A Case Report

Misiriyyah¹,

Qurban²,

Beevi³

et al. 2023

Cureus

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Adnexal torsion due to hyperstimulation is one of the well-recognized serious complications of assisted reproductive techniques like in vitro fertilization (IVF). We report a case of a 35-year-old primigravida who presented to the emergency department with complaints of acute severe left iliac fossa pain and nausea. Further history revealed that the patient had previously undergone one cycle of ovulation induction and was diagnosed with ovarian hyperstimulation syndrome (OHSS). After prompt management, she reportedly underwent a cycle of IVF successfully. Her gestational age was five weeks and one day on presentation. A transabdominal ultrasound revealed bilateral enlarged ovaries with adequate blood supply and a single intrauterine gestational sac with a yolk sac.The patient was admitted as a case of recurrent OHSS for conservative management. Despite the initial improvement of symptoms with parenteral analgesia, an emergency laparoscopic surgery was done later due to worsening symptoms. Intraoperative findings were consistent with the suspected diagnosis of adnexal torsion which was managed accordingly. Postoperatively, the patient recovered without complications and was discharged two days later with a plan for outpatient follow-up.

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Section: Discussionmentioning

confidence: 99%

Adnexal Torsion Associated With Recurrent Ovarian Hyperstimulation Syndrome: A Case Report

Misiriyyah¹,

Qurban²,

Beevi³

et al. 2023

Cureus

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“…A similar case of OHSS with torsion was diagnosed in a 40-year-old patient in her sixth week of pregnancy conceived following IVF treatment. 8 The laparoscopic ovarian detorsion was done for the same. To prevent complications associated with repeated oocyte donations and to prevent exploitation of the donors, The Assisted Reproductive Technology Regulation Act, 2021, states that an ovum donor can donate oocytes only once in her entire life, and that too not more than seven oocytes to be retrieved from the oocyte donor in that particular cycle.…”

Section: Discussionmentioning

confidence: 99%

Ovarian Hyperstimulation Syndrome in Voluntary Ovum Donors: A Case Series

Nayak,

Khade,

Bhosale

et al. 2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim:The aim of this study was to report a case series of ovarian hyperstimulation syndrome in voluntary oocyte donors and discuss their management and clinical course. Background: Ovarian hyperstimulation syndrome is a rare, iatrogenic complication occurring in artificial reproductive technology cycles. Recently, with the boost in the use of oocyte donors in ART, it has been noted that voluntary oocyte donors who undergo controlled ovarian hyperstimulation to induce superovulation in them are increasingly suffering from this syndrome. This syndrome varies from mild-to-severe and may become potentially lethal, the pathophysiologic hallmark of which is the accumulation of massive extravascular exudate combined with profound intravascular volume depletion. Case description: Seven voluntary oocyte donors who have undergone multiple cycles of superovulation and oocyte retrieval presented with moderate-to-severe ovarian hyperstimulation syndrome (OHSS) and required admission. Clinical examination and ultrasonography confirmed the diagnosis of ovarian hyperstimulation syndrome. Most of these patients were optimally managed by conservative methods while two developed complications and required emergency laparotomy. Clinical significance: With proper precautions and early detection, the deleterious effects of this condition can be prevented, and progression to a life-threatening ailment can be avoided. Donors must be thoroughly investigated and their donations must be well-spaced to avoid these negative impacts on their health. Understanding this condition will allow better management of donors at ART centers and prompt recognition of such complications by the clinician.

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“…It is also evident in a patient with a history of in vitro fertilization and ovarian hyperstimulation syndrome. 10,[14][15][16] As the ovary enlarges, it twists on its vascular pedicle and undergoes torsion. Pregnancy itself increases the risk of ovarian torsion.…”

Section: Discussionmentioning

confidence: 99%

Antenatally Diagnosed Ovarian Cysts with Torsion Managed Laparoscopically

Mishra¹,

Sivarajan²,

Chowhan³

2020

World Journal of Laparoscopic Surgery With DVD

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Aim and objective: To study the various types of laparoscopic management of antenatal ovarian torsion, their advantages, disadvantages, and its outcome in pregnancy. Background: Ovarian torsion in pregnancy occurs at a rate of about 1 in 5,000 cases. It is a life-threatening condition if not attended to and intervened promptly. Recent years have seen the advent of laparoscopy as a preferred means of management for ovarian torsion in pregnancy. This review article analyzes a series of articles over a span of 5 years from 2014 to 2018 on laparoscopic management of ovarian torsion in pregnancy and its outcome. Results: Various procedures like ovarian detorsion, cystectomy, ovarian cyst puncture, ovariopexy, shortening of the utero-ovarian ligament, and oophorectomy are performed by expert hands. While advantages include quick recovery and early discharge from hospital, disadvantages are a long learning curve and increased need for training. This has led to many uneventful pregnancies with term live births. Conclusion: Each type of laparoscopic management for antenatal ovarian torsion has its pros and cons. Nevertheless, the outcome of the pregnancy has been excellent in the majority of the laparoscopically managed cases. Clinical significance: Laparoscopic management of antenatal ovarian torsion has reduced intraoperative blood loss, improved postoperative pain, and led to a quick recovery, early discharge from hospital, and return to daily activities. Clinicians need to be adequately trained to be competent in performing various laparoscopic surgeries.

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Laparoscopic detorsion of the ovary in ovarian hyperstimulation syndrome during the sixth week of gestation: A case report and review

Cited by 10 publications

References 19 publications

Adnexal Torsion Associated With Recurrent Ovarian Hyperstimulation Syndrome: A Case Report

Adnexal Torsion Associated With Recurrent Ovarian Hyperstimulation Syndrome: A Case Report

Ovarian Hyperstimulation Syndrome in Voluntary Ovum Donors: A Case Series

Antenatally Diagnosed Ovarian Cysts with Torsion Managed Laparoscopically

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