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

Abstract

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 affected ovary in similar quantity and quality to
the unaffected ovary. Laparoscopic ovarian detorsion and preservation of the involved
ovary regardless of its appearance is a safe and effective procedure to preserve fertility.