Delayed Diagnosis and Treatment of Simultaneous Bilateral Adnexal Torsion

Author(s): Misgav Rottenstreich, Reut Rotem, Fayez Khatib, Shunit Armon, Orna Reichman a, Sorina Grisaru-Granovsky, Hen Y Sela

Adnexal torsion (AT) is a gynecologic emergency that requires prompt diagnosis and treatment to relieve patient symptoms and to achieve viable adnexa. We present a case that resulted in delayed diagnosis and treatment of simultaneous bilateral adnexal torsion most following the use of ART. Our delayed diagnosing resulted likely from the identical appearance of the ovaries on ultrasound and alternative diagnosis of ovarian hyperstimulation syndrome, an awareness to this rare phenomenon of simultaneous bilateral adnexal torsion might have helped to perform the surgery earlier.