Chin N W, Friedman C I, Awadalla S G, Miller F A, Kim M H
Fertil Steril. 1987 Jul;48(1):149-51. doi: 10.1016/s0015-0282(16)59306-6.
Adnexal torsion has not been reported previously following hMG/hCG for superovulation induction during an IVF cycle. It is clear that the enlarged ovary from the superstimulation cycle and coital activity contributed to the torsion in this case. Portable ultrasonography helped in making the diagnosis and may be an aid for diagnosis in future cases. Medications used for ovulation induction should be used cautiously and judiciously with close monitoring. Clinicians involved with this type of therapy are obligated to keep a constant watch for such infrequent but devastating complications.
此前尚未有在体外受精周期中使用人绝经期促性腺激素/人绒毛膜促性腺激素进行超排卵诱导后发生附件扭转的报道。显然，超刺激周期导致卵巢增大以及性交活动促成了该病例中的扭转。便携式超声检查有助于做出诊断，且可能对未来病例的诊断有所帮助。用于诱导排卵的药物应谨慎且明智地使用，并进行密切监测。参与此类治疗的临床医生有义务持续留意这种虽不常见但具有毁灭性的并发症。
