OVARIAN ABSCESS RUPTURE AFTER OOCYTE RETRIEVAL IN A PATIENT WITH ENDOMETRIOMA: CASE REPORT

Abstract

Introduction. Pelvic abscess rupture is a rare complication following in-vitro fertilization procedures. Case presentation. We describe an unusual case of ovarian abscess rupture following transvaginal oocyte retrieval in a 31-year-old female with a previous endometrioma. The patient presented 17 days after ultrasound-guided oocyte retrieval and 12 days after embryo transfer in our emergency room, with acute lower abdominal pain, septic fever and malaise. Laparoscopic surgery was considered after failure of triple intravenous antibiotic combination. Conclusions. Managing patients undergoing infertility treatment with this condition appears to be difficult due to the need of aggressive antibiotic and surgical treatment, which increases the risk of spontaneous abortion after embryo transfer.

Keywords

• embryo transfer
• endometrioma
• in-vitro fertilization
• oocyte retrieval
• ovarian abscess