Adnexal torsion in a patient with hydrosalpinx who underwent tubal occlusion before in vitro fertilization

Julie Lacombe, Frances Ginsburg, Frances W. Ginsburg
Fertility and sterility · 2003 · vol. 79(2) , pp. 437–438 · doi:10.1016/s0015-0282(02)04672-1 · PMID:12568862 · W2005439865
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This case report describes a patient who experienced adnexal torsion secondary to hydrosalpinx after undergoing tubal occlusion prior to in vitro fertilization.

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Abstract

OBJECTIVE: To report a rare case of adnexal torsion in an infertile patient with bilateral hydrosalpinges who had proximal tubal occlusion performed before IVF-ET 5 years earlier. DESIGN: A case report and literature review. SETTING: Reproductive endocrine division in a community teaching hospital. PATIENT(S): A 43-year-old infertile woman with acute left-side pelvic pain. INTERVENTION(S): Laparoscopic bilateral salpingectomies. MAIN OUTCOME MEASURE(S): Diagnosis and etiology of pelvic pain with subsequent therapy to alleviate symptoms. RESULT(S): The patient experienced resolution of her pain and prophylactic prevention of further torsion status after bilateral salpingectomies. CONCLUSION(S): Although laparoscopic proximal tubal occlusion is an effective treatment of hydrosalpinges in patients undergoing IVF-ET, it carries the risk of torsion of the hydrosalpinx and the associated morbidities.

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MeSH descriptors

Adnexal Diseases Fallopian Tubes Fertilization in Vitro Adnexal Diseases Adult Embryo Transfer Fallopian Tubes Female Humans Male Torsion Abnormality

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License: CC0 · commercial use OK