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Korean Journal of Obstetrics & Gynecology 2003;46(6):1256-1260.
Published online June 1, 2003.
A case of Hyperstimulated Corpus luteal cyst torsion in Pregnancy after In vitro Fertilization.
Bong Seok Kim, Yoon Sook Kim, Jeong Ho Seo, Eun Suk Song, Jong Min Kim, Dong Woon Lee, Hong Jun Choi, Hye In Park, Dong Han Bae, Seung Ha Yang
Department of Obstetrics and Gynecology, Anatomic Pathology, Soonchunhyang Chunan Hospital, College of Medicine Soonchunhyang University Chunan, Korea.
Ovarian torsion is the fifth most common condition in gynecologic surgical emergencies, with an incidence of 2.7% occuring mainly in women of reproductive age. It is an uncommon but well recognized complication of ovarian stimulation, especially when ovarian hyperstimulation syndrome occurs. Patients with ovarian torsion normally present with an acute abdomen, necessitating an exploratory laparotomy, with removal of the organ when necrosis is evident. Ultrasound may suggest the diagnosis of adnexal torsion. If the ovarian tumor is a luteal cyst, it is also standard to administer progesterone after surgical treatment, although how efficient this treatment is in preventing miscarriage is questionable. A documented case of adnexal torsion associated with in vitro fertilization is hyperstimulated enlarged corpus luteal cyst. Emergency left salpingo-oophorectomy was done and have concluded a successful pregnancy after exogenous progesterone support. We report a case of enlarged corpus luteal cyst torsion in early pregnancy with a brief review of literatures.
Key Words: Hyperstimulated corpus luteal cyst torsion, In vitro fertilization, Progesterone

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