Spontaneous pregnancy, macrosomia, and cephalopelvic disproportion in diffuse adenomyosis: a case report

İgor Lakhno, Kemine Uzel
In: Archives of the Balkan Medical Union · 2021 · vol. 56(1) , pp. 106–109 · doi:10.31688/abmu.2021.56.1.14 · W3142166651
article OA: gold CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a rare ovarian abscess rupture in a 31-year-old woman following oocyte retrieval, requiring aggressive antibiotic and surgical treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper reports a rare case of ovarian abscess rupture after ultrasound-guided transvaginal oocyte retrieval and embryo transfer in a 31-year-old woman with a previously diagnosed 5 cm right ovarian endometrioma, who developed acute lower abdominal pain, septic fever, and malaise. Despite prophylactic antibiotics and later escalation to triple intravenous antibiotics (metronidazole, gentamicin, ceftriaxone), her condition rapidly worsened with high inflammatory markers and shock parameters, leading to emergent exploratory laparoscopy that found and required right laparoscopic salpingo-oophorectomy; histopathology showed tubal ovarian abscess, and she was discharged after improvement. A key caveat explicitly noted is that evidence for preconception surgical management of endometriomas is limited and debated due to the lack of prospective studies beyond case-based evidence. This paper is centrally about endometriosis — it describes ovarian abscess rupture arising in the setting of an endometrioma following IVF-related procedures and discusses management in the context of assisted reproduction.

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Abstract

Introduction. La rupture d'un abcs pelvien est une complication rare aprs des procds de fcondation in vitro. Prsentation du cas. Nous dcrivons un cas inhabituel de rupture d'abcs ovarien aprs prlvement d'ovocytes transvaginal chez une femme de 31 ans avec un endomtriome antrieur. La patiente s'est prsente dans notre salle d'urgence, 17 jours aprs le prlvement d'ovocytes guid par chographie et 12 jours aprs le transfert d'embryon, prsentant des douleurs abdominales basses aigus, une fivre septique et un malaise. Une chirurgie laparoscopique a t envisage aprs l'chec d'une triple combinaison d'antibiotiques par voie intraveineuse. Conclusions. L'approche des patients prsentant cette condition par un traitement contre l'infertilit semble tre difficile en raison de la ncessit d'un traitement antibiotique et chirurgical agressif qui augmente le

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Condition tags

adenomyosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (16)

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last seen: 2026-06-10T17:14:06.276822+00:00
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