A case of pregnancy complicated by the development of a tubo-ovarian abscess following in vitro fertilization and embryo transfer.
Tubo-ovarian abscess is an uncommon complication in pregnant women. In this report, we present a patient who developed a tubo-ovarian abscess during pregnancy following in vitro fertilization and embryo transfer (IVF-ET). Despite treatment with intravenous antibiotics she delivered at 22 weeks of gestation. After delivery, she underwent a left salpingo-oophorectomy. Review of the literature revealed only 26 reported cases of tubo-ovarian or pelvic abscess during pregnancy. Pelvic inflammatory disease, previous laparotomy, and structural genital anomalies are known risk factors for pelvic abscess during pregnancy. Pelvic abscess resulting as a complication of vaginal oocyte retrieval has been reported. Therefore, although enabling women with organic pelvic disease such as endometriosis and hydrosalpinx to achieve pregnancy, assisted reproductive techniques may potentially result in pelvic infection during pregnancy. This case suggests that a preconception evaluation and treatment for such conditions should be considered for women undergoing treatment for infertility.
Matsunaga
Yuko
Y
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Fukushima
Kotaro
K
Nozaki
Masahiro
M
Nakanami
Naoyuki
N
Kawano
Yoshiaki
Y
Shigematsu
Toshiyuki
T
Satoh
Shoji
S
Nakano
Hitoo
H
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004624:Embryo Transfer / Q000009:adverse effects; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects / Q000379:methods; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D009869:Oophoritis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D011256:Pregnancy Outcome; D012488:Salpingitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D016216:Ultrasonography, Prenatal
D000900:Anti-Bacterial Agents