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体外受精后超刺激卵巢中卵巢扭转的最终成功处理:一例报告。

The eventual successful management of ovarian torsion in a hyperstimulated ovary following in vitro fertilization: A case report.

作者信息

Narayansingh Gordon, Hoh Jennifer

机构信息

Women Directorate, Royal Victoria Infirmary, Newcastle Upon Tyne NE1 4LP, United Kingdom.

出版信息

Case Rep Womens Health. 2019 Dec 7;26:e00166. doi: 10.1016/j.crwh.2019.e00166. eCollection 2020 Apr.

Abstract

Abdominal pain following in vitro fertilization (IVF) in the presence of enlarged ovaries commonly leads to the diagnosis of ovarian hyperstimulation syndrome (OHSS). Progressively worsening pain with a rise in inflammatory markers with normal hematological indices implies a diagnosis of ovarian torsion of the hyperstimulated ovary. Early recourse to laparoscopic assessment and derotation of the affected ovary even after 72 h following the onset of symptoms can allow a return to viability. This case highlights the clinical scenario and sequences in a successful outcome.

摘要

在卵巢增大的情况下,体外受精(IVF)后出现腹痛通常会导致卵巢过度刺激综合征(OHSS)的诊断。炎症标志物升高而血液学指标正常且疼痛逐渐加重提示诊断为过度刺激卵巢的扭转。即使在症状出现72小时后,早期进行腹腔镜评估并对受影响的卵巢进行复位仍可使其恢复活力。本病例突出了成功治疗的临床情况及过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb58/7010996/fd5cbb10b680/gr1.jpg

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