Aydin Turgut, Yucel Burak
Assisted Reproduction Unit, Acibadem Hospital, Kayseri, Turkey.
Wideochir Inne Tech Maloinwazyjne. 2014 Dec;9(4):655-7. doi: 10.5114/wiitm.2014.45732. Epub 2014 Oct 7.
Maternal adnexal torsion in pregnancy, with a reported incidence of 1-10 per 10,000 spontaneous pregnancies, is very uncommon. Since it has been described as a severe complication after controlled ovarian hyper-stimulation for in vitro fertilization (IVF), it is more common in IVF pregnancies. This condition mainly occurs in the first trimester; it is rare during the late second trimester. Conservative management of adnexal torsion by laparoscopy is extended for the management of such conditions during pregnancy. An enlarged uterus could cause operational difficulties in the second trimester. In this paper, we report a case of adnexal torsion in a twin, 23 weeks with IVF pregnancy, that was successfully untwisted by laparoscopy.
妊娠合并附件扭转非常罕见,据报道,自然妊娠的发生率为每10000例中有1 - 10例。由于它被描述为体外受精(IVF)控制性卵巢过度刺激后的一种严重并发症,所以在IVF妊娠中更为常见。这种情况主要发生在孕早期;在孕中期晚期很少见。腹腔镜保守治疗附件扭转已被扩展用于孕期此类情况的处理。孕中期子宫增大可能会导致手术困难。在本文中,我们报告了一例23周IVF双胎妊娠合并附件扭转的病例,该病例通过腹腔镜成功解除扭转。