Objective: To report on a patient with Mü llerian agenesis (MA) and inguinal ovaries and to reviewthe pertinent literature. Design: Case report and literature review. Setting: Clinical. Patient(s): A 12- year-old...Objective: To report on a patient with Mü llerian agenesis (MA) and inguinal ovaries and to reviewthe pertinent literature. Design: Case report and literature review. Setting: Clinical. Patient(s): A 12- year-old girl. Intervention(s): Magnetic resonance imaging, review of prior ovarian biopsies, karyotyping. Main Outcome Measure(s): Accuracy of diagnosis and preservation of ovarian function. Result(s): A 12- year-old girl with MA and bilateral inguinal ovaries is reported. An exhaustive review of the English literature on this rare association revealed only seven other well-documented such cases. Management of this condition involves reduction of the ovaries into the pelvis. Conclusion(s): The association of MA and bilateral inguinal ovaries is rare and possibly underreported. Ideal management consists of surgical reduction of the gonads into the pelvic cavity as soon as they are discovered, to decrease the risk of ovarian torsion and loss of ovarian function.展开更多
Objective: To describe a parasitic infection that probably affected the implantation of good-quality embryos in an in vitro fertilization(IVF) cycle. Design: Case report. Setting: Tertiary care center in a university ...Objective: To describe a parasitic infection that probably affected the implantation of good-quality embryos in an in vitro fertilization(IVF) cycle. Design: Case report. Setting: Tertiary care center in a university hospital. Patient(s): A 36-year-old Caucasian female with primary unexplained infertility. The patient underwent two cycles of IVF with good-quality embryos transferred; however, no pregnancy ensued despite adequate luteal support. Intervention(s): In vitro fertilization cycles, CBC, blood smear, evaluation for eosinophilia including serological evaluation for parasitic infections. Main Outcome Measure(s): Pregnancy. Result(s): Following treatment for filariasis, a repeat IVF cycle using the same stimulation protocol yielded a full-term pregnancy. Conclusion(s): This case is of particular importance because, to our knowledge, it is the first to describe a parasitic infection that probably affected the implantation of good-quality embryos in IVF cycles.展开更多
文摘Objective: To report on a patient with Mü llerian agenesis (MA) and inguinal ovaries and to reviewthe pertinent literature. Design: Case report and literature review. Setting: Clinical. Patient(s): A 12- year-old girl. Intervention(s): Magnetic resonance imaging, review of prior ovarian biopsies, karyotyping. Main Outcome Measure(s): Accuracy of diagnosis and preservation of ovarian function. Result(s): A 12- year-old girl with MA and bilateral inguinal ovaries is reported. An exhaustive review of the English literature on this rare association revealed only seven other well-documented such cases. Management of this condition involves reduction of the ovaries into the pelvis. Conclusion(s): The association of MA and bilateral inguinal ovaries is rare and possibly underreported. Ideal management consists of surgical reduction of the gonads into the pelvic cavity as soon as they are discovered, to decrease the risk of ovarian torsion and loss of ovarian function.
文摘Objective: To describe a parasitic infection that probably affected the implantation of good-quality embryos in an in vitro fertilization(IVF) cycle. Design: Case report. Setting: Tertiary care center in a university hospital. Patient(s): A 36-year-old Caucasian female with primary unexplained infertility. The patient underwent two cycles of IVF with good-quality embryos transferred; however, no pregnancy ensued despite adequate luteal support. Intervention(s): In vitro fertilization cycles, CBC, blood smear, evaluation for eosinophilia including serological evaluation for parasitic infections. Main Outcome Measure(s): Pregnancy. Result(s): Following treatment for filariasis, a repeat IVF cycle using the same stimulation protocol yielded a full-term pregnancy. Conclusion(s): This case is of particular importance because, to our knowledge, it is the first to describe a parasitic infection that probably affected the implantation of good-quality embryos in IVF cycles.
