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Journals / Türk Fertilite Dergisi / 2005 / Cilt: 13 - Sayı: 3

Recurrent ovarian torsion in a 10-week pregnant woman following ovulation induction with gonadotropins

Gonadotropin ile ovülasyon indüksiyonu sonrası on haftalık bir gebede tekrarlayan over torsiyonu

Hasan ŞAHİNER
Fuat DEMİR
Okan ÖZKAYA
Mekin SEZİK
Hakan KAYA
Pages
273–275
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Laparoscopic detorsion seems to be a safe treatment option, however bilateral ovarian fixative suturing might be important to prevent retorsion.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Ovulation induction is commonly employed during infertility treatment.
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Key Findings & Data:We report a 10-week pregnant woman presenting with repetitive ovarian torsion 15 days apart following ovulation induction with gonadotropins.
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Conclusion & Impact:Laparoscopic detorsion seems to be a safe treatment option, however bilateral ovarian fixative suturing might be important to prevent retorsion.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Ovulation induction is commonly employed during infertility treatment. However, enlarged ovaries secondary to numerous follicle and luteal cysts forming after ovulation induction with gonadotropins might lead to ovarian torsion. Ovarian torsion is much more common during the reproductive period and in infertile women undergoing ovulation induction treatment with gonadotropin preparations. Hence, prompt diagnosis for ovarian preservation is important in those patients. We report a 10-week pregnant woman presenting with repetitive ovarian torsion 15 days apart following ovulation induction with gonadotropins. Infertile women with hyperstimulated ovaries secondary to induction of ovulation need to be monitored closely for the occurrence of ovarian torsion. Laparoscopic detorsion seems to be a safe treatment option, however bilateral ovarian fixative suturing might be important to prevent retorsion.

Özet

Amaç: İnfertil çiftlerin tedavisinde ovülasyon indüksiyonu sık kullanılan bir yöntemdir, fakat gonodotropinlerle ovülasyon indüksiyonu sonrası gelişen çok sayıda follikül veya lütein kistler nedeniyle overler büyüyüp torsiyone olabilmektedir. Torsiyon vakaları reprodüktif dönemde ve ovülasyon indüksiyonu alan infertil hastalarda daha sık karşımıza çıkmaktadır. Bu nedenle bu hastalarda overlerin korunması için erken tanı önem kazanmaktadır. Biz gonadotropinlerle ovülasyon indüksiyonu sonrasında 10 haftalık bir gebe kadında onbeş gün arayla meydana gelen tekrarlayıcı over torsiyonu vakasını ve bunun tedavisini sunduk. Özellikle infertilite nedeniyle ovülasyon indüksiyonu alan ve overleri hiperstimüle olmuş vakalarda torsiyon açısından yakın takip gerekmektedir. Torsiyon olan vakalarda laparoskopik detorsiyon güvenilirdir, ama tekrar aynı over veya karşı overde torsiyon riski olmasından dolayı, ilk operasyonda mümkün olduğu kadar overi sabitleyici sütürler konulması önemlidir.

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Cite This Article

ŞAHİNER, H., DEMİR, F., ÖZKAYA, O., SEZİK, M., KAYA, H. (2022). Recurrent ovarian torsion in a 10-week pregnant woman following ovulation induction with gonadotropins. Türk Fertilite Dergisi, Cilt: 13 - Sayı: 3, 273–275. https://ajindex.com/articles/623338

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