Recurrence of ovarian torsion in a multiple pregnancy: conservative management via transabdominal ultrasound-guided ovarian cyst aspiration.

OBJECTIVE: To report a case of recurrent ovarian torsion during a multiple-gestation pregnancy and successful treatment via transabdominal ultrasound-guided ovarian cyst aspiration.

DESIGN: Case report and literature review.

SETTING: Tertiary care fertility center.

PATIENT(S): A 33-year-old gravida 2, para 1 woman with a history of ovarian torsion in a previous pregnancy, who presented with recurrent ovarian torsion in the 13th week of a multiple pregnancy.

INTERVENTION(S): Ultrasound-guided transabdominal ovarian cyst aspiration and body repositioning to allow for spontaneous detorsion.

MAIN OUTCOME MEASURE(S): Resolution of the ovarian torsion, as well as preservation of the pregnancy without surgical intervention.

RESULT(S): After transabdominal ultrasound-guided cyst aspiration, ovarian detorsion was observed, accompanied by resolution of the patient's acute pain. The remainder of the patient's pregnancy was uncomplicated, culminating in the delivery of healthy infants.

CONCLUSION(S): Conservative treatment of ovarian torsion via ultrasound-guided transabdominal cyst aspiration and body repositioning represents a reasonable alternative to surgical intervention in the pregnant patient.