Journal of the Chinese Medical Association
Volume 69, Issue 5 , Pages 236-239, May 2006

Laparoscopic Plication of Partially Twisted Ovary with Massive Ovarian Edema

  • Ming-Huei Cheng

      Affiliations

    • Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Jeng-Yu Tseng

      Affiliations

    • Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Department of Pathology, Cardinal Tien Hospital Hsintien, Taipei, Taiwan, R.O.C.
    • ,
  • Jeng-Hung Suen

      Affiliations

    • Department of Pathology, Cardinal Tien Hospital Hsintien, Taipei, Taiwan, R.O.C.
    • Fu Jen Catholic University, School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Chih-Chun Yang

      Affiliations

    • Department of Obstetrics and Gynecology, Cardinal Tien Hospital Hsintien, Taipei, Taiwan, R.O.C.
    • Fu Jen Catholic University, School of Medicine, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr. Chih-Chun Yang, Department of Obstetrics and Gynecology, Cardinal Tien Hospital-Hsintien, 362, Chung-Chen Road, Hsintien 231, Taiwan, R.O.C.

Received 24 December 2004; accepted 26 January 2006.

Article Outline

Massive ovarian edema (MOE) is a rare entity characterized by an accumulation of stromal edema fluid and occurs primarily in young women. The etiology is not clear, but is suspected to be the result of partial torsion of the ovary. After the establishment of a correct diagnosis, organ-sparing surgical treatment is the standard treatment. With the assistance of laparoscopy, we diagnosed and managed MOE in a 26-year-old woman who had a 4-year history of primary infertility and intermittent lower abdominal pain that had lasted for more than 6 months. With de-torsion, wedge resection, and plication of the ovary, the patient was successfully relieved of the abdominal pain and experienced no recurrence in the follow-up period. A later spontaneous pregnancy demonstrated the practicality of this conservative treatment.

Key Words:  laparoscopic plication , massive ovarian edema , ovarian torsion , polycystic ovary syndrome

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PII: S1726-4901(09)70226-6

doi:10.1016/S1726-4901(09)70226-6

Journal of the Chinese Medical Association
Volume 69, Issue 5 , Pages 236-239, May 2006

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