In vitro fertilization complicated by rupture of tubo-ovarian abscess during pregnancy

Taiwan J Obstet Gynecol. 2015 Oct;54(5):612-6. doi: 10.1016/j.tjog.2015.08.017.

Abstract

Objective: Pelvic abscess during pregnancy is an uncommon complication, but can lead to adverse perinatal outcomes during pregnancy.

Case report: We present a patient who developed rupture of a tubo-ovarian abscess during pregnancy following in vitro fertilization and embryo transfer. Thirty-eight reported cases are reviewed, and transvaginal oocyte retrieval, genital tract infections, endometrioma, and previous pelvic surgery are considered as risk factors for pelvic abscess during pregnancy.

Conclusion: Prolonging gestational duration when an infection situation is allowed is the principle of treatment.

Keywords: in vitro fertilization; oocyte retrieval; pelvic abscess; pregnancy complications.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abscess / diagnosis
  • Abscess / etiology
  • Abscess / therapy*
  • Adult
  • Anti-Bacterial Agents / administration & dosage*
  • Diagnosis, Differential
  • Drainage / methods*
  • Fallopian Tube Diseases / diagnosis
  • Fallopian Tube Diseases / etiology
  • Fallopian Tube Diseases / therapy*
  • Female
  • Fertilization in Vitro / adverse effects
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Injections, Intravenous
  • Ovarian Diseases / diagnosis
  • Ovarian Diseases / etiology
  • Ovarian Diseases / therapy*
  • Pregnancy
  • Pregnancy Complications, Infectious*
  • Pregnancy Outcome
  • Rupture, Spontaneous
  • Ultrasonography, Prenatal / methods*

Substances

  • Anti-Bacterial Agents