扳机前卵巢刺激期间发生卵巢扭转并成功取卵：一例报告。
Ovarian torsion during ovarian stimulation prior to trigger followed by successful oocyte retrieval: A case report.
作者信息
Naert Mackenzie N, Baker Sarah, Attaman Jill, Morris Mary E, Souter Irene, Fitz Victoria W
机构信息
Department of Obstetrics and Gynecology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, United States.
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, United States.
出版信息
Case Rep Womens Health. 2023 Mar 10;37:e00495. doi: 10.1016/j.crwh.2023.e00495. eCollection 2023 Mar.
OBJECTIVE
To report a case of ovarian torsion during ovarian stimulation prior to trigger followed by laparoscopic detorsion, trigger, and subsequent successful oocyte retrieval, as well as to review outcomes from the cycle.
CASE PRESENTATION
A 32-year-old woman with a history of recurrent ovarian torsion presented with ovarian torsion during ovarian stimulation for in vitro fertilization prior to trigger injection. She underwent laparoscopic ovarian detorsion followed by trigger and oocyte retrieval.The rate of fertilization and blastocyst conversion of oocytes retrieved from the ovary affected by torsion was lower than from the contralateral ovary. Viable oocytes and an embryo were produced by the affected ovary.
CONCLUSION
Ovarian torsion during ovarian hyperstimulation for in vitro fertilization is a rare occurrence, particularly prior to trigger. Clinicians can consider proceeding with trigger and oocyte retrieval after treating ovarian torsion in appropriately counseled patients.
目的
报告一例在扳机注射前卵巢刺激过程中发生卵巢扭转，随后行腹腔镜下扭转复位、扳机注射及后续成功取卵的病例，并回顾该周期的结局。
病例介绍
一名有复发性卵巢扭转病史的32岁女性，在扳机注射前进行体外受精的卵巢刺激过程中出现卵巢扭转。她接受了腹腔镜下卵巢扭转复位术，随后进行扳机注射和取卵。从扭转侧卵巢获取的卵母细胞的受精率和囊胚转化率低于对侧卵巢。扭转侧卵巢产生了有活力的卵母细胞和一枚胚胎。
结论
体外受精卵巢过度刺激过程中发生卵巢扭转较为罕见，尤其是在扳机注射前。在对患者进行适当的咨询后，临床医生在治疗卵巢扭转后可考虑继续进行扳机注射和取卵。
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