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Case Report
A case report of recurrent ovarian torsion following oocyte cryopreservation managed with dual technique oophoropexy
1 Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility at Washington University School of Medicine in St. Louis, Missouri, USA
2 Department of Obstetrics and Gynecology, Division of Minimally Invasive Gynecologic Surgery at Washington University School of Medicine in St. Louis, Missouri, USA
Address correspondence to:
Emily E Spurlin
Washington University in St Louis, 4444 Forest Park Ave, Ste 3100, St. Louis, MO 63108,
USA
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Article ID: 100174Z08ES2024
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How to cite this article
Spurlin EE, de Souza KM, Keller SL, Ratts VS, Omurtag KR, Jimenez PT. A case report of recurrent ovarian torsion following oocyte cryopreservation managed with dual technique oophoropexy. J Case Rep Images Obstet Gynecol 2024;10(1):43–48.ABSTRACT
Introduction: Ovarian torsion is a known risk of ovarian hyperstimulation done as part of fertility treatments. The purpose of this case report is to describe an unusual case of recurrent ovarian torsion following oocyte cryopreservation that was ultimately managed with ovarian detorsion and dual technique oophoropexy.
Case Report: The patient presented is a 25-yearold female with history of recurrent ovarian torsion who underwent fertility preservation with ovarian cryopreservation in the setting of risk for ovarian loss in the case of recurrent torsion episodes. Following ovarian hyperstimulation and oocyte retrieval, the patient experienced three recurrent episodes of torsion which were surgically managed. On the third episode, a dual technique oophoropexy was performed using both utero-ovarian ligament plication and ovarian fixation.
Conclusion: This case describes an unusual presentation of an uncommon complication of ovarian stimulation. During her surgical management of recurrent ovarian torsion, ovarian conservation was prioritized and a dual oophoropexy technique was utilized which has thus far prevented further recurrent episodes of torsion.
Keywords: Case report, Oophoropexy, Ovarian fixation, Recurrent ovarian torsion, Utero-ovarian plication
SUPPORTING INFORMATION
Author Contributions
Emily E Spurlin - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Katherine M de Souza - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sarah L Keller - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Valerie S Ratts - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kenan R Omurtag - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Patricia T Jimenez - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Emily E Spurlin et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
