Korean J Obstet Gynecol.  2012 Nov;55(11):894-898. 10.5468/KJOG.2012.55.11.894.

Tuboovarian abscess in pregnancy after in vitro fertilization and embryo transfer

• Park S
• Song T
• Kim YJ
• Lee JE
• Kim MK
• Kim ML
• Yoon BS
• Seong SJ
• Shim JY

• KMID: 2274165
• DOI: http://doi.org/10.5468/KJOG.2012.55.11.894

Abstract

Tuboovarian abscess occurred in pregnancy is a rare disease, especially which occurs after in vitro fertilization and embryo transfer (IVF-ET) is extremely rare. It is also difficult in diagnosis, because of its low incidence and nonspecific symptoms. Most of diagnosis is made in surgery. Although IVF currently is considered an effective treatment in women with endometriosis, there is the risk causing the infection of the endometrioma after oocyte retrieval. A case of tuboovarian abscess in IVF-ET pregnancy was presented and reviewed briefly.

Keyword

Tuboovarian abscess; Pregnancy; In vitro fertilization and embryo transfer; Oocyte retrieval

MeSH Terms

Abscess
Embryo Transfer
Embryonic Structures
Endometriosis
Female
Fertilization in Vitro
Humans
Incidence
Oocyte Retrieval
Pregnancy
Rare Diseases

Figure

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  Fig. 1 Transabdominal sonography. A 12.5 cm-sized right ovarian cyst.

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  Fig. 2 Magnetic resonance imaging findings. Right ovarian cyst and intrauterine pregnancy (T2 weight image).

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  Fig. 3 Laparoscopic image of right ovarian cyst. There was a 10 cm-sized right ovarian cyst including pus, which made severe adhesion with surrounding pelvic organs and peritoneum. It also had endometriotic lesion.

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  Fig. 4 Microscopic findings. (A) The specimen consisted of many fragmented pieces of tissue showing fibrinous necrotic exudate, infiltration of acute and chronic inflammatory cells and fibrosis (H&E, ×40). (B) High power view showed infiltration of many neutrophils, lymphocytes and plasma cells (H&E, ×200).

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