Pelvic abscess complicating an in vitro fertilization pregnancy and review of the literature

In: Journal of Assisted Reproduction and Genetics · 2008 · vol. 25(7) , pp. 341–343 · doi:10.1007/s10815-008-9222-5 · W1990850624
article OA: bronze CC0 ⤵ 10 in-corpus citations
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This case report describes a pelvic abscess complicating an in vitro fertilization pregnancy, which despite two laparotomies, resulted in loss of the triplet pregnancy at 22 weeks gestation.

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This paper reports a clinical case of pelvic abscess occurring during an in vitro fertilization (IVF) triplet pregnancy, along with a brief review of relevant literature on pelvic abscess after IVF. The authors describe presentation during pregnancy and management including two laparotomies, but note that the triplet pregnancy was lost at 22 weeks gestation. The paper emphasizes the key finding that pelvic infection progression in pregnancy can be slow, with delayed recognition possible. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

IntroductionIn vitro fertilisation has become a very common procedure in the infertility practice due to both accessibility and good success rates.DiscussionComplications, however, are constant reminders that no procedure is totally safe. In this paper, we present a case of IVF pregnancy that presented with pelvic abscess, and despite two laparotomies the triplet pregnancy was lost at 22 weeks gestation.ConclusionThis case highlights the fact that the progression of pelvic infection in pregnancy can be slow.
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Abstract

Introduction In vitro fertilisation has become a very common procedure in the infertility practice due to both accessibility and good success rates.

Discussion

Complications, however, are constant reminders that no procedure is totally safe. In this paper, we present a case of IVF pregnancy that presented with pelvic abscess, and despite two laparotomies the triplet pregnancy was lost at 22 weeks gestation.

Conclusion

This case highlights the fact that the progression of pelvic infection in pregnancy can be slow.

References

Bennett SJ, Waterstone JJ, et al. Complications of transvaginal ultrasound-directed follicle aspiration: a review of 2670 consecutive procedures. J Assist Reprod Genet. 1993;10:72–7. Tsai Y-C, Lin MYS, et al. Vaginal disinfection with povidone iodine immediately before oocyte retrieval is effective in preventing pelvic abscess formation without compromising the outcome of IVF-ET. J Assist Reprod Genet. 2005;22:173–5. Younis JS, Ezra Y, et al. Late manifestation of pelvic abscess following oocyte retrieval, for in vitro fertilization, in patients with severe endometriosis and ovarian endometriomata. J Assist Reprod Genet. 1997;14:343–6. Matsunaga Y, Fukushima K, et al. A case of pregnancy complicated by the development of a tubo-ovarian abscess following in vitro fertilization and embryo transfer. Am J Perinatol. 2003;20:277–82. El-Shawarby SA, Margara RA, et al. A review of complications following transvaginal oocyte retrieval for in-vitro fertilization. Hum Fertil. 2004;7:127–33. den Boon J, Kimmel CE, et al. Pelvic abscess in the second half of pregnancy after oocyte retrieval for in-vitro fertilization: case report. Hum Reprod. 1999;14:2402–3. Sharpe K, Karovitch AJ, et al. Transvaginal oocyte retrieval for in vitro fertilization complicated by ovarian abscess during pregnancy. Fertil Steril 2006;86:219.e11–3. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Al-Kuran, O., Beitawi, S. & Al-Mehaisen, L. Pelvic abscess complicating an in vitro fertilization pregnancy and review of the literature. J Assist Reprod Genet 25, 341–343 (2008). https://doi.org/10.1007/s10815-008-9222-5 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s10815-008-9222-5

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