Transvaginal oocyte retrieval for in vitro fertilization complicated by ovarian abscess during pregnancy.
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.
Sharpe
Kimberley
K
Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, Ontario, Canada.
Karovitch
Alan J
AJ
Claman
Paul
P
Suh
Kathryn N
KN
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*