A case of ovarian torsion in early pregnancy after ovulation induction-diagnostic dilemma and management

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Article type :

Case Report

Author :

Aparna Krishnamurthy*, Shyamal Maiti, GD Maiti

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Abstract :

Ovarian torsion is one of the common gynaecologic surgical emergencies. Ovarian stimulation in infertility treatment has become a major risk factor for ovarian torsion. The diagnosis of the condition is challenging in early pregnancy and timely diagnosis can prevent morbidity of both mother and foetus. We present a case of 28 years old primi gravida known case of polycystic ovarian syndrome (PCOS) conceived after ovulation induction, at 7 weeks period of gestation with right ovarian torsion. Laparoscopic untwisting of the ovarian pedicle and debulking of multiple follicular ovarian cysts bilaterally was done. Patient withstood the surgery well and the pregnancy continued uneventfully. The patient progressed to deliver a healthy male baby at 40 completed weeks of gestation.  

Keyword :

Ovarian torsion, Pregnancy, Laparoscopy, Untwisted.
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