Vaginal perforation during transvaginal ultrasound-guided follicle aspiration in a woman undergoing multiple cycles of assisted reproduction.
OBJECTIVE
To report a case of vaginal perforation during transvaginal ultrasound-guided follicle aspiration.


METHODS
Case report.


METHODS
A university hospital.


METHODS
A 41-year-old woman who had undergone transvaginal ultrasound-guided follicle aspiration five times previously for IVF-embryo transfer.


METHODS
Retrospective evaluation of past medical history and surgical treatment.


METHODS
Medical follow-up after surgical repair of the perforation.


RESULTS
Simple vaginal perforation with no damage to the gastrointestinal or genitourinary systems can be repaired at the time of perforation through the vagina.


CONCLUSIONS
Perforation of the vagina is a possible complication of transvaginal ultrasound-guided follicle aspiration in older patients with a history of repeated transvaginal aspiration of follicles, particularly when the ovaries are difficult to visualize.
Cho
Michael M
MM
Center for Reproductive Medicine of Hackensack University Medical Center, Hasbrouck Heights, New Jersey, USA. chomm@umdnj.edu
McGovern
Peter G
PG
Colon
Jose M
JM
D000328:Adult; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D009865:Oocytes; D006080:Ovarian Follicle / Q000000981:diagnostic imaging* / Q000601:surgery*; D012086:Reoperation; D027724:Reproductive Techniques, Assisted; D012189:Retrospective Studies; D013396:Suction / Q000009:adverse effects; D025321:Surgery, Computer-Assisted; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D014463:Ultrasonography; D014621:Vagina / Q000293:injuries*; D014950:Wounds, Penetrating / Q000209:etiology* / Q000601:surgery