The eventual successful management of ovarian torsion in a hyperstimulated ovary following in vitro fertilization: A case report

Abstract

Abdominal pain following in vitro fertilization (IVF) in the presence of enlarged ovaries commonly leads to the diagnosis of ovarian hyperstimulation syndrome (OHSS). Progressively worsening pain with a rise in inflammatory markers with normal hematological indices implies a diagnosis of ovarian torsion of the hyperstimulated ovary. Early recourse to laparoscopic assessment and derotation of the affected ovary even after 72 h following the onset of symptoms can allow a return to viability. This case highlights the clinical scenario and sequences in a successful outcome. Keywords: Ovarian torsion, In Vitro fertilization, Ovarian hyperstimulation yndrome, Laparoscopy