Oocyte donation following ischemic ovarian detorsion for twisted pedicle due to paratubal cyst

Rojas-Ruiz J.C.; Salazar-Cuba X.; Ángeles-Reyes R.P. · Revista Peruana de Ginecologia y Obstetricia (2023) · DOI: 10.31403/rpgo.v69i2570

Resumen

Adnexal torsion is secondary to generally benign ovarian cysts. The usual surgery is salpingo-oophorectomy. However, to maintain ovarian function, minimally invasive surgery with detorsion and preservation of the ovary is recommended regardless of its appearance. We present the case of a 19-year-old woman diagnosed with twisted pedicle cyst, who underwent laparoscopic detorsion of the twisted pedicle and excision of the paratubal cyst with ovarian preservation, despite its ischemic aspect. The patient presented favorable evolution and participated in an ovodonation program, obtaining oocytes from the previously afected ovary in similar quantity and quality to the unafected ovary. Laparoscopic ovarian detorsion and preservation of the involved ovary regardless of its appearance is a safe and efective procedure to preserve fertility. © Revista Peruana de Ginecologia y Obstetricia.All rights reserved.

Instituciones: Universidad Nacional de Trujillo; Universidad César Vallejo