Third Trimester Torsion of Persistent Ovarian Cyst following Ovarian Hyperstimulation – An Unusual Cause of Preterm Labor
Author(s) -
Ran Goshen,
Yuval Lavy,
H. Hochner-Celnikier,
Ariel Milwidsky
Publication year - 1992
Publication title -
gynecologic and obstetric investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 63
eISSN - 1423-002X
pISSN - 0378-7346
DOI - 10.1159/000294894
Subject(s) - ovarian cyst , medicine , uterus , cyst , torsion (gastropod) , obstetrics , pregnancy , gynecology , ovarian torsion , controlled ovarian hyperstimulation , surgery , in vitro fertilisation , biology , genetics
Herein, a patient being operated for cesarean section due to preterm labor in the 31st week of a triplet pregnancy induced by gonadotropins is being described. On celiotomy, peritoneal effusion was present secondary to torsion of a 10 x 6 cm right ovarian cyst. This uncommon finding contradicts the common belief that the chances for an ovarian cyst in the overcrowded peritoneal space due to a 40-week-size uterus to twist around its pedicle are remote. The possibility that preterm labor was initiated by the torsion is discussed.
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