| IVF and embryo development subsequent to ovarian torsion occurring during the resumption of meiosis. | |
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MedLine Citation:
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PMID: 20638908 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This report describes an unusual case of ovarian torsion during an IVF cycle prior to vaginal oocyte retrieval and the subsequent embryo development. A 27-year-old, whose husband carries a balanced translocation, presented on stimulation day 11 (day after human chorionic gonadotrophin administration) with signs of right ovarian torsion. Transvaginal ultrasound identified decreased right ovarian venous flow but preservation of right ovarian arterial flow. She underwent emergency laparoscopic right ovarian detorsion followed by vaginal oocyte retrieval on postoperative day 1. Ten oocytes were retrieved from the right detorted ovary, 4/10 (40%) were fertilized and 3/4 (75%) became blastocysts. Fifteen oocytes were retrieved from the left ovary, 14/15 (93%) were fertilized and 9/14 (64%) became blastocysts. All 18 embryos biopsied for preimplantation genetic diagnosis carried unbalanced translocations and none were transferred. The markedly reduced fertilization rate of the oocytes from the previously torted ovary is similar to the rate described in a prior report and likely related to decreased but maintained ovarian arterial flow. This report is unique because not only was the patient's ovarian torsion surgically corrected prior to oocyte retrieval but also the embryos originating from the previously torted ovary had excellent development with 75% progressing to the blastocyst stage. |
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Authors:
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Laura P Smith; Selwyn P Oskowitz; Brent Barrett; Steven R Bayer |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-04-09 |
Journal Detail:
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Title: Reproductive biomedicine online Volume: 21 ISSN: 1472-6491 ISO Abbreviation: Reprod. Biomed. Online Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-30 Completed Date: 2010-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101122473 Medline TA: Reprod Biomed Online Country: Netherlands |
Other Details:
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Languages: eng Pagination: 418-21 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA. Laura.Smith@BOSTONIVF.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Embryonic Development Female Fertilization in Vitro / adverse effects* Humans Male Meiosis Oocyte Retrieval Ovarian Diseases / etiology*, ultrasonography Ovary / blood supply, ultrasonography Pregnancy Preimplantation Diagnosis Time Factors Torsion Abnormality / etiology*, ultrasonography Translocation, Genetic |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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