Pelvic abscess in the second half of pregnancy after oocyte retrieval for in-vitro fertilization: Case report

Jan den Boon, Catharina E.J.M. Kimmel, H Nagel, Jos van Roosmalen
In: Human Reproduction · 1999 · vol. 14(9) , pp. 2402–2403 · doi:10.1093/humrep/14.9.2402 · PMID:10469720 · W2101773355
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a rare instance of bilateral ovarian abscess rupture in the second trimester of a twin pregnancy following IVF, necessitating laparotomy and resulting in severe maternal and neonatal complications.

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Abstract

We describe a very late manifestation of pelvic abscesses after oocyte retrieval for in-vitro fertilization (IVF). In a twin pregnancy achieved after intracytoplasmic sperm injection, rupture of bilateral ovarian abscesses occurred at the end of the second trimester. An emergency laparotomy was necessary because of an acute abdomen. This complication led to severe maternal and neonatal morbidity, preterm birth and neonatal death. The rare occurrence of acute abdomen in pregnancy due to pelvic infection and the non-specific symptoms of a pelvic abscess after oocyte retrieval for IVF are discussed.

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