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Conservative management of adnexal torsion via transvaginal ultrasound guided ovarian cyst aspiration in patients with ovarian hyperstimulation.

Zhu W, Li X, Chen X, Fu Z

Department of Reproductive Medical Centre, ShenZhen Maternity and Child Healthcare Hospital, Shenzhen, People's Republic of China. zhuwenjie542004@yahoo.com.cn

OBJECTIVE: To report the successful conservative management of two patients with acute adnexal torsion by ultrasound-guided transvaginal ovarian cystic aspiration. DESIGN: Case report. SETTING: A reproductive medical center. PATIENTS: Two women with OHSS who had acute lower abdominal pain, nausea, and vomiting, and were found to have acute adnexal torsion. INTERVENTION(S): An ultrasound-guided transvaginal ovarian cystic aspiration was performed promptly. MAIN OUTCOME MEASURE(S): The clinical symptoms of acute adnexal torsion after the procedure. RESULT(S): After the cystic aspiration, acute lower abdominal pain, nausea, and vomiting were relieved immediately. The postoperative course was normal. Neither of the patients had clinical signs of pelvic or systemic thromboembolism. CONCLUSION(S): Ultrasound-guided transvaginal ovarian cystic aspiration is a simple, safe, and effective method for the conservative management of adnexal torsion.

Published 14 January 2008 in Fertil Steril, 89(1): 229.e1-3.
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