European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 152, Issue 1 , Pages 60-63, September 2010

Ultrasound-guided transvaginal aspiration as initial treatment for adnexal torsion following ovarian hyperstimulation

  • Eun Mi Chang
    • ,
  • Ari Kim
    • ,
  • Ji Won Kim
    • ,
  • Tae Ki Yoon

      Affiliations

    • Corresponding Author InformationCorresponding author at: Fertility Center of CHA General Hospital, Department of Obstetrics and Gynecology, College of Medicine, CHA University, 650-9 Yeoksam, Kangnamgu, Seoul 135-081, South Korea. Fax: +82 2 3468 3079.

Department of Obstetrics and Gynecology and Fertility Center, CHA Gangnam Medical Center, CHA University, Seoul, South Korea

Received 12 February 2010; received in revised form 27 March 2010; accepted 13 May 2010. published online 31 May 2010.

Abstract 

Objective

To evaluate the safety, feasibility, and pregnancy outcomes of adnexal detorsion using simple aspiration following ovarian hyperstimulation in pregnancy.

Study design

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.

Conclusion

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.

Keywords: Adnexal torsion, Ovarian hyperstimulation, Pregnancy, Ultrasound-guided transvaginal aspiration

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PII: S0301-2115(10)00223-X

doi:10.1016/j.ejogrb.2010.05.004

European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 152, Issue 1 , Pages 60-63, September 2010

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