Transvaginal oocyte retrieval for in vitro fertilization complicated by ovarian abscess during pregnancy
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This case report describes the management of an ovarian abscess that developed during pregnancy following transvaginal oocyte retrieval for in vitro fertilization.
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Abstract
ObjectiveTo describe an ovarian abscess presenting very late after oocyte retrieval for IVF with several unusual clinical features.DesignCase report.SettingAcademic medical center.Patient(s)A 35-year-old nulliparous woman underwent IVF with uncomplicated transvaginal oocyte retrieval (TVOR), resulting in a dizygotic twin pregnancy. At 13 weeks of pregnancy she presented with vaginal discharge, but was otherwise constitutionally well. At 30 weeks she developed a low-grade fever, and the diagnosis of ovarian abscess was made. She received broad-spectrum antibiotics, and the abscess was drained percutaneously after cesarean delivery of twins.Intervention(s)Antimicrobial therapy; cesarean section; postpartum percutaneous drainage.Main outcome measure(s)Clinical and radiologic resolution of infection.Result(s)Complete resolution of the abscess; delivery of healthy twins.Conclusion(s)Infectious complications of TVOR and other surgical procedures usually occur within days of the intervention. Our case illustrates the possibility of infectious complications of TVOR presenting months after the procedure. Our patient did not become acutely ill due to the formation of a spontaneous vaginal fistula, which allowed the abscess to drain. The optimal management of this complication is unclear, but final resolution of any pelvic abscess generally requires drainage.
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References (13)
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Cited by (20)
- Evidence based management of patients with endometriosis undergoing assisted conception: British fertility society policy and practice recommendations 2024
- Complicated Pelvic Inflammatory Disease 2023
- Risk Factors for Abscess Development in Patients with Endometrioma Who Present with an Acute Abdomen 2022
- Different Outcomes of Pelvic Inflammatory Disease after Transvaginal Oocyte Retrieval in Patients with and without Endometriosis and the Factors Influencing Its Treatment: A Retrospective Study of 66 Cases 2022
- Safety of in-vitro fertilization in women with endometriosis 2021
- Endometriosis-associated infertility: surgery or IVF? 2021
- Pelvic infection after IVF 2021
- A Patient with Tubo-Ovarian Abscess with Endometriosis after Transvaginal Oocyte Retrieval 2020
- Complications in Oocyte Retrieval 2019
- Traitement conservateur des endométriomes chez les patientes prises en charge en FIV 2017
- In vitro fertilization complicated by rupture of tubo-ovarian abscess during pregnancy 2015
- Rupture of ovarian abscess following ultrasound-guided transvaginal oocyte retrieval for in-vitro fertilization in a patient with ovarian endometriomata: a case report 2015
- The Impact of Endometrioma and Its Surgical Treatment on Ovarian Reserve and Reproductive Performance 2015
- Early pregnancy loss following laparoscopic management of ovarian abscess secondary to oocyte retrieval. 2014
- Pelvic Inflammatory Disease and Tubo-ovarian Abscess 2014
- Pelvic abscess after oocyte retrieval in women with endometriosis: A case series. 2013
- Term delivery following tuboovarian abscess after in vitro fertilization and embryo transfer 2013
- Tuboovarian abscess in pregnancy after<i>in vitro</i>fertilization and embryo transfer 2012
- Pelvic Infection after IVF 2012
- Pelvic abscess complicating an in vitro fertilization pregnancy and review of the literature 2008
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- last seen: 2026-05-14T06:31:37.849631+00:00
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