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

Julie Lacombe, Frances W. Ginsburg
In: 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

ObjectiveTo 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.DesignA case report and literature review.SettingReproductive 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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