Bilateral ovarian abscesses following transvaginal oocyte retrieval for IVF: a case report and review of literature.

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This case report describes bilateral ovarian abscesses following transvaginal oocyte retrieval, which presented with early signs of consumption coagulopathy.

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This paper reports a case of bilateral ovarian abscesses that developed after ultrasound-guided transvaginal oocyte retrieval for IVF, along with a review of related literature on complications of the procedure. The authors describe early signs of consumption coagulopathy in the setting of pelvic infection and note that while TVOR is commonly used because it is atraumatic and provides good visualization, it can still lead to serious complications including infection, bleeding, pelvic trauma, and sepsis-related coagulopathy. A key limitation is that the evidence is dominated by a single case report, so broader risk estimates and causal inference cannot be established from these data. The 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

Ultrasound-guided transvaginal oocyte retrieval (TVOR) is a relatively simple and atraumatic method with rare complications as well as the possibility of doing it under sedation. It has become the method of choice in most IVF centres, because it results in excellent oocyte yields, with increased speed and excellent follicle and major pelvic vessel visualization, thereby decreasing the probability of vessel puncture [1]. However, the technique is not without risk such as pelvic infection, bleeding secondary a blood vessel puncture or pelvic visceral trauma. Consumption coagulopathy is a serious complication of pelvic infection and sepsis which can be life threatening if not diagnosed and corrected early, especially if surgical intervention is required. We present a case of bilateral ovarian abscesses following transvaginal oocyte retrieval showing early signs of consumption coagulopathy.
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Abstract

Ultrasound-guided transvaginal oocyte retrieval (TVOR) is a relatively simple and atraumatic method with rare complications as well as the possibility of doing it under sedation. It has become the method of choice in most IVF centres, because it results in excellent oocyte yields, with increased speed and excellent follicle and major pelvic vessel visualization, thereby decreasing the probability of vessel puncture [1]. However, the technique is not without risk such as pelvic infection, bleeding secondary a blood vessel puncture or pelvic visceral trauma. Consumption coagulopathy is a serious complication of pelvic infection and sepsis which can be life threatening if not diagnosed and corrected early, especially if surgical intervention is required. We present a case of bilateral ovarian abscesses following transvaginal oocyte retrieval showing early signs of consumption coagulopathy.

References

Wikland M, Hamberger L, Enk L. Technical and clinical aspects of ultrasound-guided oocyte recovery. Hum Reprod 1989;4:79–92 Dicker D, Ashkenazi J, Feldberg D, Levy T, Dekel A, Ben-Rafael Z. Severe abdominal complications after transvaginal ultrasonographically guided retrieval of oocytes for in vitro fertilization and embryo transfer. Fertil Steril 1993;59:1313–5 Dicker D, Dekel A, Orvieto R, Bar-Hava I, Feldberg D, Ben-Rafael Z. Ovarian abscess after ovum retrieval for in-vitro fertilization. Hum Reprod 1998;13(7):1813–4 Scoccia B, Marcovici I, Brandt T. Uterine abscess after ultrasound-guided ovum retrieval in an in vitro fertilization-embryo transfer program: case report and review of the literature. J Assist Reprod Genet 1992;9:285–9 van Os HC, Roozenburg BJ, Janssen-Caspers HA, Leerentveld RA, Scholtes MC, Zeilmaker GH, et al. Vaginal disinfection with povidon iodine and the outcome of in-vitro fertilization. Hum Reprod 1992;7:349–50 Bennett SJ, Waterstone JJ, Cheng WC, Parsons J. Complications of transvaginal ultrasound-directed follicle aspiration: a review of 2670 consecutive procedures. J Assist Reprod Genet 1993;10:72–7 Tureck RW, Garcia CR, Blasco L, Mastroianna Jr L. Perioperative complications arising after transvaginal oocyte retrieval. Obstet Gynecol 1993;81:590–3 Govaerts I, Devreker F, Delbaere A, Revelard P, Englert Y. Short-term medical complications of 1500 oocyte retrievals for in vitro fertilization and embryo transfer. Eur J Obstet Gynecol Reprod Biol 1998;77:239–43 Monif GRG. Rupture of tubo-ovarian abscess. In Monif, G.R.G. (ed.), Infectious Diseases in Obstetrics and Gynecology. Philadelphia: Harper and Row, 1993; pp. 100–6 Gjelland K, Ekerhovd E, Granberg S. Transvaginal ultrasound-guided aspiration for treatment of tubo-ovarian abscess: A study of 302 cases. Am J Obtet Gynecol 2005;193:1323–30 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Kelada, E., Ghani, R. Bilateral ovarian abscesses following transvaginal oocyte retrieval for IVF: a case report and review of literature. J Assist Reprod Genet 24, 143–145 (2007). https://doi.org/10.1007/s10815-006-9090-9 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s10815-006-9090-9

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