Korean J Obstet Gynecol.  2003 Jun;46(6):1256-1260.

A case of Hyperstimulated Corpus luteal cyst torsion in Pregnancy after In vitro Fertilization

• Kim BS
• Kim YS
• Seo JH
• Song ES
• Kim JM
• Lee DW
• Choi HJ
• Park HI
• Bae DH
• Yang SH

Abstract

Ovarian torsion is the fifth most common condition in gynecologic surgical emergencies, with an incidence of 2.7% occuring mainly in women of reproductive age. It is an uncommon but well recognized complication of ovarian stimulation, especially when ovarian hyperstimulation syndrome occurs. Patients with ovarian torsion normally present with an acute abdomen, necessitating an exploratory laparotomy, with removal of the organ when necrosis is evident. Ultrasound may suggest the diagnosis of adnexal torsion. If the ovarian tumor is a luteal cyst, it is also standard to administer progesterone after surgical treatment, although how efficient this treatment is in preventing miscarriage is questionable. A documented case of adnexal torsion associated with in vitro fertilization is hyperstimulated enlarged corpus luteal cyst. Emergency left salpingo-oophorectomy was done and have concluded a successful pregnancy after exogenous progesterone support. We report a case of enlarged corpus luteal cyst torsion in early pregnancy with a brief review of literatures.

Keyword

Hyperstimulated corpus luteal cyst torsion; In vitro fertilization; Progesterone

MeSH Terms

Abdomen, Acute
Abortion, Spontaneous
Diagnosis
Emergencies
Female
Fertilization in Vitro*
Humans
Incidence
Laparotomy
Necrosis
Ovarian Hyperstimulation Syndrome
Ovulation Induction
Pregnancy*
Progesterone
Ultrasonography
Progesterone