Document Detail

Transvaginal oocyte retrieval for in vitro fertilization complicated by ovarian abscess during pregnancy.
MedLine Citation:
PMID:  16716320     Owner:  NLM     Status:  MEDLINE    
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.
Kimberley Sharpe; Alan J Karovitch; Paul Claman; Kathryn N Suh
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-05-23
Journal Detail:
Title:  Fertility and sterility     Volume:  86     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-04     Completed Date:  2006-08-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  219.e11-3     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, Ontario, Canada.
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MeSH Terms
Abscess / diagnosis,  etiology*
Fertilization in Vitro / adverse effects*
Oocyte Donation / adverse effects*
Ovarian Diseases / diagnosis,  etiology*
Pregnancy Complications / diagnosis,  etiology*
Specimen Handling / adverse effects*
Staphylococcal Infections / diagnosis,  etiology*

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