Ovarian abscess and heterotopic triplet pregnancy: two complications after IVF in one patient

Michael Ludwig, M. Ludwig, R E Felberbaum, R. Felberbaum, O. Bauer, K. Diedrich
Archives of gynecology and obstetrics · 1999 · vol. 263(1-2) , pp. 25–28 · doi:10.1007/s004040050256 · PMID:10728624 · W2090205544
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A patient developed an ovarian abscess post-ovarian puncture and later experienced a heterotopic triplet pregnancy following IVF and embryo transfer, necessitating salpingectomy.

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Abstract

A patient is reported, who suffered from ovarian abscess after ovarian puncture of a functional ovarian cyst. The cyst has developed after administration of a GnRH agonist depot preparation in the preceeding luteal phase. She was planned to be stimulated for IVF according to the long luteal protocol. The abscess was removed by laparoscopy. and stimulation started two months later after administration of two further GnRH against depot preparations. The patient got pregnant after embryo transfer of three embryos. and a heterotopic triplet pregnancy, with intrauterine twins and a tubal singleton was established. Bilateral salpingectomy was performed, because of bilateral haematosalpinx and previously described bilateral tubal occlusion. The further pregnancy was uncomplicated.

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MeSH descriptors

Abdominal Abscess Fertilization in Vitro Ovarian Diseases Pregnancy Pregnancy, Tubal Punctures Abdominal Abscess Abdominal Abscess Abdominal Abscess Adult Female Fertilization in Vitro Fertilization in Vitro Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Gynecologic Surgical Procedures Humans Ovarian Cysts Ovarian Cysts Ovarian Cysts

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