[In Vitro Fertilization: beware of oocyte retrieval without oocyte!].
A 30-year-old woman undergoing an In Vitro Fertilization (IVF) treatment for tubal infertility and for whom no oocyte was retrieved at the puncture ("white puncture") presented an ectopic pregnancy. The patient was asymptomatic except some bleeding events reported for several days prior to the puncture. The ovulation monitoring was normal throughout the stimulation by gonadotrophin and hCG was administered for the final oocyte maturation on the twelfth day of stimulation at a rate of 2771 pg/ml of estradiol with a perfect ultrasound follicular growth. This case demonstrates that we have to beware of a "white puncture" and that the hCG measurement the day of the oocyte retrieval is necessary because of the possibility of an ectopic pregnancy.
Service de gynécologie obstétrique et médecine de la reproduction, centre hospitalier des 4-Villes, site de Sèvres, 141, grande-rue, 92318 Sèvres cedex, France. sbringer76@yahoo.fr
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S
Bringer-Deutsch
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JM
Mayenga
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Grefenstette
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Grzegorczyk
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O
Kulski
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J
Belaisch-Allart
D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood / Q000627:therapeutic use; D004958:Estradiol / Q000097:blood; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects*; D006801:Humans; D007247:Infertility, Female / Q000628:therapy*; D054315:Oocyte Retrieval / Q000379:methods*; D009865:Oocytes; D010062:Ovulation Induction / Q000009:adverse effects / Q000379:methods; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D016216:Ultrasonography, Prenatal
D006063:Chorionic Gonadotropin; D004958:Estradiol