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Case Reports
. 2023 Mar 10:37:e00495.
doi: 10.1016/j.crwh.2023.e00495. eCollection 2023 Mar.

Ovarian torsion during ovarian stimulation prior to trigger followed by successful oocyte retrieval: A case report

Mackenzie N Naert  1 , Sarah Baker  2 , Jill Attaman  2 , Mary E Morris  2 , Irene Souter  2 , Victoria W Fitz  2
Affiliations
Case Reports

Ovarian torsion during ovarian stimulation prior to trigger followed by successful oocyte retrieval: A case report

Mackenzie N Naert et al. Case Rep Womens Health. .

Abstract

Objective: To report a case of ovarian torsion during ovarian stimulation prior to trigger followed by laparoscopic detorsion, trigger, and subsequent successful oocyte retrieval, as well as to review outcomes from the cycle.

Case presentation: A 32-year-old woman with a history of recurrent ovarian torsion presented with ovarian torsion during ovarian stimulation for in vitro fertilization prior to trigger injection. She underwent laparoscopic ovarian detorsion followed by trigger and oocyte retrieval.The rate of fertilization and blastocyst conversion of oocytes retrieved from the ovary affected by torsion was lower than from the contralateral ovary. Viable oocytes and an embryo were produced by the affected ovary.

Conclusion: Ovarian torsion during ovarian hyperstimulation for in vitro fertilization is a rare occurrence, particularly prior to trigger. Clinicians can consider proceeding with trigger and oocyte retrieval after treating ovarian torsion in appropriately counseled patients.

Keywords: IVF; In vitro fertilization; Ovulation induction; Recurrent ovarian torsion.

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Figures

Fig. 1–2
Fig. 1–2
Intraoperative surgical findings which demonstrate the enlarged, edematous right ovary.
Fig. 1–2
Fig. 1–2
Intraoperative surgical findings which demonstrate the enlarged, edematous right ovary.
See this image and copyright information in PMC

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