Ovarian Torsion at 8 weeks of Gestation in a Woman with Threatened Abortion After Frozen-Thawed Embryo Transfer: A Case Report.

IF 2.5 4区 医学 Q2 OBSTETRICS & GYNECOLOGY International Journal of Women's Health Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI:10.2147/IJWH.S488657
Wenhan Ju, Jinfu Zhang, Yue Wang, Keying Pan, Qianwen Zhang, Shuai Zhao, Fang Lian
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Abstract

Introduction: Ovarian torsion during pregnancy is a rare condition that requires prompt diagnosis and repositioning to preserve ovarian function.

Case report: A 32-year-old woman underwent a successful pregnancy after FET, but was hospitalized for observation because of a threatened abortion. During the 8th week of pregnancy, a transvaginal ultrasound examination was performed due to sudden lower abdominal pain, which displayed an 8.3×5.2cm right ovary and a 4.3×3.6 cm enhanced echogenic mass over the right ovary with striated structures. Consequently, a preliminary diagnosis of ovarian torsion was made, and urgent laparoscopic exploration was conducted. Intraoperatively, the right fallopian tube and right ovary were rotated counterclockwise by 720 degrees. After rotate and reposition the right ovary and fallopian tube, a 3 cm diameter cyst was punctured. After 1 hour of observation, a 2×1×1cm segment of ovarian tissue was excised. Pregnancy was maintained with aggressive postoperative luteal support and anti-infective treatment.

Conclusion: The use of clomiphene citrate during endometrium preparation for frozen-thawed embryo transfer cycles may elevate the risk of ovarian torsion. Laparoscopic ovarian repositioning after ovarian torsion in pregnant women, even those with threatened abortion, is safe when combined with postoperative anti-infective treatment and intensive luteal support.

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冻融胚胎移植后先兆流产妇女妊娠8周卵巢扭转1例报告。
简介:妊娠期间卵巢扭转是一种罕见的情况,需要及时诊断和重新定位,以保持卵巢功能。病例报告:一名32岁妇女在FET后成功怀孕,但因先兆流产住院观察。妊娠第8周,因突然下腹痛行阴道超声检查,发现8.3×5.2cm右卵巢及右侧卵巢上方4.3×3.6 cm回声增强肿块,呈条纹状结构。因此,初步诊断卵巢扭转,并进行紧急腹腔镜探查。术中将右输卵管和右卵巢逆时针旋转720度。右卵巢和输卵管旋转复位后,穿刺直径3cm的囊肿。观察1小时后,切除一段2×1×1cm卵巢组织。术后积极的黄体支持和抗感染治疗维持妊娠。结论:在冻融胚胎移植周期子宫内膜准备过程中使用枸橼酸克罗米芬可能会增加卵巢扭转的风险。妊娠妇女卵巢扭转后腹腔镜卵巢重新定位,即使有先兆流产,术后联合抗感染治疗和强化黄体支持是安全的。
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来源期刊
International Journal of Women's Health
International Journal of Women's Health OBSTETRICS & GYNECOLOGY-
CiteScore
3.70
自引率
0.00%
发文量
194
审稿时长
16 weeks
期刊介绍: International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.
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