Peritonitis after a ruptured left pyosalpinx in a patient undergoing in vitro fertilization.
OBJECTIVE
To report acute abdomen in a young woman with infertility due to small asymptomatic bilateral hydrosalpinges who was on the 12th day of an IVF cycle.


METHODS
Case report.


METHODS
Private IVF clinic.


METHODS
A 35-year-old woman with asymptomatic bilateral hydrosalpinges.


METHODS
Abdominal laparoscopy.


METHODS
Pus and a ruptured left pyosalpinx.


RESULTS
The patient suddenly developed acute abdomen while lifting a disabled person at a nursing home where she worked as a nurse. About 200 mL of pus was aspirated, and the patient had a ruptured left pyosalpinx. Bilateral salpingectomy was done by laparoscopy; the patient's postoperative recovery was uneventful.


CONCLUSIONS
We report a rare case of acute abdomen due to peritonitis after a ruptured pyosalpinx in an IVF patient who lifted a disabled person.
St. Luke Hospital and Oita Medical University, Oita, Japan. kihaile@oita-med.ac.jp
Paul
P
Kihaile
Juinichi
J
Misumi
Takafumi
T
Utsunomiya
D000328:Adult; D005184:Fallopian Tube Diseases / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010535:Laparoscopy; D010538:Peritonitis / Q000209:etiology* / Q000601:surgery; D012421:Rupture; D012422:Rupture, Spontaneous