Transvaginal oocyte retrieval for in vitro fertilization complicated by ovarian abscess during pregnancy

Kimberley Sharpe, Alan J Karovitch, Alan Karovitch, Paul Claman, Kathryn N. Suh
Fertility and sterility · 2006 · vol. 86(1) , pp. 219.e11–219.e13 · doi:10.1016/j.fertnstert.2005.12.045 · PMID:16716320 · W2024142400
Case report OA: bronze CC0 ⤵ 20 in-corpus citations
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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

OBJECTIVE: To describe an ovarian abscess presenting very late after oocyte retrieval for IVF with several unusual clinical features. DESIGN: Case report. SETTING: Academic 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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MeSH descriptors

Abscess Fertilization in Vitro Oocyte Donation Ovarian Diseases Pregnancy Complications Specimen Handling Staphylococcal Infections Abscess Abscess Adult Female Fertilization in Vitro Humans Oocyte Donation Ovarian Diseases Ovarian Diseases Pregnancy Pregnancy Complications Pregnancy Complications Specimen Handling

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