A case report of recurrent ovarian torsion following oocyte cryopreservation managed with dual technique oophoropexy

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.