Biomaterial Database

Ultrasound-guided transvaginal aspiration as initial treatment for adnexal torsion following ovarian hyperstimulation. 2010

Eun Mi Chang, and Ari Kim, and Ji Won Kim, and Tae Ki Yoon

Department of Obstetrics and Gynecology and Fertility Center, CHA Gangnam Medical Center, CHA University, Seoul, South Korea.

OBJECTIVE To evaluate the safety, feasibility, and pregnancy outcomes of adnexal detorsion using simple aspiration following ovarian hyperstimulation in pregnancy. METHODS Retrospective review of eight pregnant women who underwent ultrasound (US)-guided transvaginal aspiration to induce natural reduction of ovarian torsion following ovarian hyperstimulation. RESULTS Six of the eight patients were successfully treated with simple aspiration only, without any complications. Symptoms recurred in two patients, necessitating further laparoscopic detorsion. The outcome of the pregnancy was normal in seven women, with the eighth experiencing loss of one fetus from a twin pregnancy 2 days after laparoscopy. Normal ovarian blood flow was confirmed within one month after the treatment. CONCLUSIONS US-guided transvaginal aspiration for adnexal detorsion in pregnant women following ovarian stimulation might serve as a simpler, less morbid and equally effective alternative to conventional treatment.

UI	MeSH Term	Description	Entries
D010048	Ovarian Cysts	General term for CYSTS and cystic diseases of the OVARY.	Corpus Luteum Cyst,Corpus Luteum Cysts,Cyst, Corpus Luteum,Cyst, Ovarian,Cysts, Corpus Luteum,Cysts, Ovarian,Ovarian Cyst
D010053	Ovary	The reproductive organ (GONADS) in female animals. In vertebrates, the ovary contains two functional parts: the OVARIAN FOLLICLE for the production of female germ cells (OOGENESIS); and the endocrine cells (GRANULOSA CELLS; THECA CELLS; and LUTEAL CELLS) for the production of ESTROGENS and PROGESTERONE.	Ovaries
D011247	Pregnancy	The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.	Gestation,Pregnancies
D011248	Pregnancy Complications	Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.	Adverse Birth Outcomes,Complications, Pregnancy,Adverse Birth Outcome,Birth Outcome, Adverse,Complication, Pregnancy,Outcome, Adverse Birth,Pregnancy Complication
D011256	Pregnancy Outcome	Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; or SPONTANEOUS ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.	Outcome, Pregnancy,Outcomes, Pregnancy,Pregnancy Outcomes
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000290	Adnexa Uteri	Appendages of the UTERUS which include the FALLOPIAN TUBES, the OVARY, and the supporting ligaments of the uterus (BROAD LIGAMENT; ROUND LIGAMENT).	Uterine Appendages,Appendage, Uterine,Appendages, Uterine,Uterine Appendage
D000291	Adnexal Diseases	Diseases of the uterine appendages (ADNEXA UTERI) including diseases involving the OVARY, the FALLOPIAN TUBES, and ligaments of the uterus (BROAD LIGAMENT; ROUND LIGAMENT).	Adnexal Disease,Disease, Adnexal,Diseases, Adnexal
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults