Ultrasound-guided transvaginal oocyte retrieval （TVOR） has become the gold standard for couples undergoing in-vitro fertilization （IVF）. Despite a relatively low complication rate following the procedure, here we ...Ultrasound-guided transvaginal oocyte retrieval （TVOR） has become the gold standard for couples undergoing in-vitro fertilization （IVF）. Despite a relatively low complication rate following the procedure, here we report a rare case of a ruptured ovarian abscess presenting late after ultrasound-guided TVOR in a 32-year-old woman with ovarian endometriomata. Prompt intervention and proper choices of treatment led to rapid patient recovery with no long-term sequelae. Rupture of ovarian abscess needs to be included in the differential diagnosis of a patient presenting with abdominal pain following TVOR.展开更多
Objective To report a case of ovarian hemorrhage after transvaginal ultrasoundguided oocyte retrieval combined with severe ovarian hyperstimulation syndrome （OHSS）. Methods A 26-year-old woman who was on therapy for...Objective To report a case of ovarian hemorrhage after transvaginal ultrasoundguided oocyte retrieval combined with severe ovarian hyperstimulation syndrome （OHSS）. Methods A 26-year-old woman who was on therapy for infertility presented with abdominal distension and a decrease of urine after transvaginal ultrasound-guided oocyte retrieval for in vitro fertilization-embryo transfer （IVF-ET）. Initial clinical presentation, ultrasound, and lab results were consistent with the diagnosis of severe OHSS. However with 4 d conservative treatments there seemed no recovery and the patient became more serious for her hemoglobin fell from 169.0 g/L to 60.2 g/L along with more abdominal fluid and a decrease of urine. Ultrasound guided paracentesis revealed an ovarian hemorrhage, and the patient underwent emergent surgery. Results The patient underwent emergent laparotomy for oophoroplasty and preservation of ovary. She got twin pregnancy in the second frozen-thawed embryo transfer （FET） cycle and delivered two female babies. Conclusion It is important to distinguish the OHSS from ovarian hemorrhage, because the ovarian hemorrhage with hemoperitoneum requires immediate operative management, whereas OHSS is nearly always managed conservatively. Clinicians must be aware that ovarian hemorrhage may be delayed in women presenting OHSS.展开更多
文摘Ultrasound-guided transvaginal oocyte retrieval （TVOR） has become the gold standard for couples undergoing in-vitro fertilization （IVF）. Despite a relatively low complication rate following the procedure, here we report a rare case of a ruptured ovarian abscess presenting late after ultrasound-guided TVOR in a 32-year-old woman with ovarian endometriomata. Prompt intervention and proper choices of treatment led to rapid patient recovery with no long-term sequelae. Rupture of ovarian abscess needs to be included in the differential diagnosis of a patient presenting with abdominal pain following TVOR.
文摘Objective To report a case of ovarian hemorrhage after transvaginal ultrasoundguided oocyte retrieval combined with severe ovarian hyperstimulation syndrome （OHSS）. Methods A 26-year-old woman who was on therapy for infertility presented with abdominal distension and a decrease of urine after transvaginal ultrasound-guided oocyte retrieval for in vitro fertilization-embryo transfer （IVF-ET）. Initial clinical presentation, ultrasound, and lab results were consistent with the diagnosis of severe OHSS. However with 4 d conservative treatments there seemed no recovery and the patient became more serious for her hemoglobin fell from 169.0 g/L to 60.2 g/L along with more abdominal fluid and a decrease of urine. Ultrasound guided paracentesis revealed an ovarian hemorrhage, and the patient underwent emergent surgery. Results The patient underwent emergent laparotomy for oophoroplasty and preservation of ovary. She got twin pregnancy in the second frozen-thawed embryo transfer （FET） cycle and delivered two female babies. Conclusion It is important to distinguish the OHSS from ovarian hemorrhage, because the ovarian hemorrhage with hemoperitoneum requires immediate operative management, whereas OHSS is nearly always managed conservatively. Clinicians must be aware that ovarian hemorrhage may be delayed in women presenting OHSS.
