Acute abdomen in early pregnancy due to ovarian torsion following successful in vitro fertilization treatment

doi:10.1016/j.tjog.2013.08.013

Chia Nan University of Pharmacy & Science Institutional Repository > 環境永續暨休閒學院 > 運動管理系 > 期刊論文 > Item 310902800/29651

jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://ir.cnu.edu.tw/handle/310902800/29651

標題:	Acute abdomen in early pregnancy due to ovarian torsion following successful in vitro fertilization treatment
作者:	Tsai, Hsing-Chun Kuo, Tian-Ni Chung, Ming-Ting Lin, Mike Y. S. Kang, Chieh-Yi Tsai, Yung-Chieh
貢獻者:	運動管理系
關鍵字:	in vitro fertilization laparoscopy ovarian hyperstimulation ovarian torsion pregnancy
日期:	2015-08
上傳時間:	2016-04-19 19:03:21 (UTC+8)
出版者:	Elsevier Taiwan
摘要:	Objective: Ovarian torsion is an acute abdomen requiring prompt intervention. Ovarian torsion seldom occurs during pregnancy. However, with in vitro fertilization (IVF) treatments, ovarian hyperstimulation may increase the size of the ovaries and result in the occurrence of adnexal torsion. Here, we report two cases of ovarian torsion after IVF and discuss the optimal management of this emergency medical condition.Case Report: The first case was a 23-year-old woman who received IVF embryo transfer due to tubal factor infertility. Sudden-onset, lower abdominal pain developed at the 6th week of pregnancy. Conservative treatment with antibiotics was the initial approach, but a right oophorectomy had to be performed due to right ovarian torsion with hemorrhagic and gangrenous changes. The second case was a 38-year-old woman diagnosed with bilateral ovarian torsion at 8 weeks' gestation due to the sudden onset of low abdominal pain. Laparoscopy was arranged immediately after the diagnosis was confirmed. The left ovary was successfully preserved due to prompt intervention. Both pregnancies continued without problems after surgery.Conclusion: Ovarian hyperstimulation during IVF embryo transfer treatment is a risk factor for developing adnexal torsion. Early diagnosis and prompt surgical intervention is the only way to protect the ovary and preserve the pregnancy. Laparoscopic surgery in early pregnancy causes no harm to the fetus and should be encouraged once the diagnosis is confirmed. Delaying surgery may induce serious infection and jeopardize the lives of both the fetus and mother. Copyright (C) 2015, Taiwan Association of Obstetrics & Gynecology. Published by Elsevier Taiwan LLC. All rights reserved.
關聯:	Taiwanese Journal of Obstetrics & Gynecology, v.54 n.4, pp.438-441
显示于类别:	[運動管理系] 期刊論文

文件中的档案:

档案	描述	大小	格式	浏览次数
index.html		0Kb	HTML	2185	检视/开启

在CNU IR中所有的数据项都受到原著作权保护.

TAIR相关文章

数据加载中.....