Document Detail


Recurrence of ovarian torsion in a multiple pregnancy: conservative management via transabdominal ultrasound-guided ovarian cyst aspiration.
MedLine Citation:
PMID:  20403591     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report a case of recurrent ovarian torsion during a multiple-gestation pregnancy and successful treatment via transabdominal ultrasound-guided ovarian cyst aspiration. DESIGN: Case report and literature review. SETTING: Tertiary care fertility center. PATIENT(S): A 33-year-old gravida 2, para 1 woman with a history of ovarian torsion in a previous pregnancy, who presented with recurrent ovarian torsion in the 13th week of a multiple pregnancy. INTERVENTION(S): Ultrasound-guided transabdominal ovarian cyst aspiration and body repositioning to allow for spontaneous detorsion. MAIN OUTCOME MEASURE(S): Resolution of the ovarian torsion, as well as preservation of the pregnancy without surgical intervention. RESULT(S): After transabdominal ultrasound-guided cyst aspiration, ovarian detorsion was observed, accompanied by resolution of the patient's acute pain. The remainder of the patient's pregnancy was uncomplicated, culminating in the delivery of healthy infants. CONCLUSION(S): Conservative treatment of ovarian torsion via ultrasound-guided transabdominal cyst aspiration and body repositioning represents a reasonable alternative to surgical intervention in the pregnant patient.
Authors:
Kathleen Marie Osterman Boswell; Kaylen Mark Silverberg
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-04-18
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2010-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1910.e1-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
University of Texas Medical Branch, Austin, Texas 78727, USA. kmoboswell@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Biopsy, Fine-Needle / methods*
Female
Humans
Ovarian Cysts / pathology,  therapy*,  ultrasonography
Ovarian Diseases / pathology,  therapy*,  ultrasonography
Pregnancy
Pregnancy Complications / pathology,  therapy*,  ultrasonography
Pregnancy, Multiple*
Recurrence
Torsion Abnormality / pathology,  therapy*,  ultrasonography
Treatment Outcome
Ultrasonography, Interventional*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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