Reduction of ovarian torsion 1 week after embryo transfer in a patient with bilateral hyperstimulated ovaries

Objective: To report a rare case of unilateral ovarian torsion 1 week after embryo transfer in a patient with bilateral hyperstimulated ovaries. Design: Case report and literature review. Setting: Reproductive Endocrine division in a university teaching hospital. Patient(s): Infertility patients undergoing IVF-ET. Intervention(s): Laparoscopic reduction of adnexa 1 week after ET. Main Outcome Measure(s): Successful preservation of the affected adnexa. Result(s): Delivery of 3.324 kg male infant with preservation of the affected ovary. Conclusion(s): Untwisting of the affected ovary at laparoscopy without aspiration reduction of cystic masses is appropriate. The outcome of the pregnancy (even very early) in patients with torsion of the adnexa may be favorable after a laparoscopic unwinding of the affected adnexa. (C) 2001 by American Society for Reproductive Medicine.