Two patients with endometriosis require peripregnancy surgical treatment for pelvic abscesses after egg collection and embryo transfer
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Two endometriosis patients developed pelvic abscesses post-ART procedures, requiring surgical intervention during pregnancy due to severe pelvic adhesions and peritonitis.
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Abstract
Assisted reproductive technology procedures infrequently cause pelvic abscesses, but the risk is higher in patients with endometriosis. If antibiotic treatment of a pelvic abscess is unsuccessful, surgery is required-even during pregnancy. We report two patients with endometriosis who suffered from pelvic abscesses formed after egg collection and embryo transfer. Patient 1 underwent laparoscopic resection of the left adnexa and right ovarian cystectomy after diagnosis of the implantation failure. Surgical findings showed severe adhesions in the pelvis due to endometriosis. Patient 2 underwent open drainage surgery at 11 weeks of pregnancy due to pan-peritonitis caused by a pelvic abscess. The patient delivered at 36 weeks of gestation. We conclude that egg collection and embryo transfer in patients with endometriosis confers a high risk for pelvic infection. An accurate diagnosis and appropriate treatment, including surgery, are mandatory in case of severe pelvic abscesses during pregnancy to save both mother and fetus.
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Cites (4)
- Endometriosis and Infertility 2012
- A Case of Pregnancy Complicated by the Development of a Tubo-ovarian Abscess Following In Vitro Fertilization and Embryo Transfer 2003
- A Case of an Abscessed Cystic Endometriotic Lesion in the Vesico-uterine Pouch after Oocyte Retrieval 2021
- Evaluating the risk factors for developing resistance to parenteral therapy for tubo‐ovarian abscess: A case–control study 2013
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- openalex
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- pmc
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