title: Transvaginal oocyte retrieval for in vitro fertilization complicated by ovarian abscess during pregnancy.
abstract: OBJECTIVE
  To describe an ovarian abscess presenting very late after oocyte retrieval for IVF with several unusual clinical features.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Academic medical center.
  
  
  METHODS
  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.
  
  
  METHODS
  Antimicrobial therapy; cesarean section; postpartum percutaneous drainage.
  
  
  METHODS
  Clinical and radiologic resolution of infection.
  
  
  RESULTS
  Complete resolution of the abscess; delivery of healthy twins.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, Ontario, Canada.
authors.forename: Kimberley
authors.initials: K
authors.lastname: Sharpe
authors.forename: Alan J
authors.initials: AJ
authors.lastname: Karovitch
authors.forename: Paul
authors.initials: P
authors.lastname: Claman
authors.forename: Kathryn N
authors.initials: KN
authors.lastname: Suh
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects*; D006801:Humans; D018587:Oocyte Donation / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000175:diagnosis / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology*; D013048:Specimen Handling / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology*