Tuboovarian abscess in pregnancy afterin vitrofertilization and embryo transfer

Seoyeon Park, Taejong Song, Young Ju Kim, Jee Eun Lee, Mi Kyoung Kim, Mi‐La Kim, Bo Sung Yoon, Seok Ju Seong, Jeong Yun Shim
In: Korean Journal of Obstetrics & Gynecology · 2012 · vol. 55(11) , pp. 894 · doi:10.5468/kjog.2012.55.11.894 · W2066574380
article OA: bronze CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper presents a rare case of tuboovarian abscess in pregnancy following IVF-ET, highlighting diagnostic challenges due to its low incidence and nonspecific symptoms, with diagnosis often requiring surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports a rare case of tuboovarian abscess occurring during pregnancy after in vitro fertilization and embryo transfer in a 33-year-old woman with known ovarian endometriosis (endometrioma). After oocyte retrieval and embryo transfer, she developed severe abdominal pain and urinary frequency at 14 weeks’ gestation; imaging showed a large right adnexal cyst consistent with endometrioma, but the diagnosis of an abscess was made only after diagnostic laparoscopy with drainage and cystectomy, with histology showing fibrinous necrotic exudate and extensive inflammatory/fibrotic changes. Cultures from the abscess did not grow organisms, and the authors note that imaging and blood tests are difficult for diagnosis in pregnancy, with variability in reported timing and limited guidance on treatment. Relevance to endometriosis: the case involves an endometrioma and discusses endometriosis as an IVF-ET risk context for infection/abscess formation after oocyte retrieval, linking this tuboovarian abscess scenario directly to endometriosis-associated ovarian pathology during pregnancy.

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Abstract

Tuboovarian abscess occurred in pregnancy is a rare disease, especially which occurs after in vitro fertilization and embryo transfer (IVF-ET) is extremely rare. It is also difficult in diagnosis, because of its low incidence and nonspecific symptoms. Most of diagnosis is made in surgery. Although IVF currently is considered an effective treatment in women with endometriosis, there is the risk causing the infection of the endometrioma after oocyte retrieval. A case of tuboovarian abscess in IVF-ET pregnancy was presented and reviewed briefly.

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endometriosisendometrioma

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