1/5. Ruptured tubo-ovarian abscess as a complication of IVF treatment: clinical, ultrasonographic and histopathologic findings. A case report.Tuboovarian abscess is a rare complication of IVF treatment, which can be lethal on rupture. Hereby, we present a case of a ruptured tubo-ovarian abscess, following transvaginal ultrasound-guided oocyte retrieval for IVF and transcervical embryo trasfer in a 38-year-old white female patient with five years of primary infertility who underwent aspiration of bilateral hydrosalpinges at the time of oocyte retrieval. This case suggests that the reactivation of latent pelvic infection due to a previous pelvic inflammatory disease (PID) was the possible route of infection after transvaginal ultrasound-directed follicle aspiration--transcervical embryo transfer. We conclude that physicians should consider the diagnosis of tubo-ovarian abscess in the differential diagnosis of abdominal pain, fever and leukocytosis after ovum retrieval and transcervical embryo transfer for IVF treatment. Preservation of the uterus and unaffected uterine adnexa should be attempted in such cases if future pregnancy is desired.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Sequential torsion of the uterine adnexa.Sequential bilateral torsion of the uterine adnexa in a young girl led to right and, subsequently, left salpingo-oophorectomy. Acute lower abdominal pain in a young female patient, especially one who has had previous similar episodes, should alert the physician to the possible presence of adnexal torsion. If possible, surgical management of this condition should be conservative--that is, the blood supply should be restored to the adnexa and a viable tube or ovary should be preserved. Contralateral adnexal suspension should always be done, in an effort to prevent bilateral adnexal torsion and to preserve the reproductive potential in these young patients.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. Sonographic findings in a case of uterine and vaginal duplication (didelphys) with unilateral hematocolpometrasalpinx.The diagnostic capabilities of ultrasound provide an accurate assessment of the size, shape, and location of a mass. The reliability of sonography in evaluating this patient, both pre- and postoperatively, provided invaluable information, aiding the attending physician in his treatment and in his evaluation of the prognosis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Tuboovarian abscess following transvaginal oocyte retrieval for in vitro fertilization: imaging appearance.All physicians participating in the workup of an infertile patient should be aware of the nonspecificity of the computed tomographic or sonographic finding of a complex adnexal cystic lesion occurring following transvaginal oocyte retrieval for in vitro fertilization. Persistent fever and leukocytosis in conjunction with such lesions should lead to an early presumptive diagnosis of tuboovarian abscess with prompt administration of antibiotic therapy.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. An unexpected guest in follicular fluid.Parasitic infection as the only or concomitant cause of infertility in Caucasian women is rare. A parasitic infection may also present itself quite unexpectedly as a coincidental finding as shown with this case report. Moving microfilariae of mansonella perstans were found in the aspirated follicular fluid of a patient who underwent in-vitro fertilization (IVF) with embryo transfer because of tubal pathology due to chlamydia trachomatis. The patient also appeared to have a schistosoma infection. To our knowledge, the presence of parasites in follicular fluid has never been reported before. We expect that infertility physicians may be confronted with parasitic infections more often, not only in patients originating from tropical countries but also in Western women as a result of a tendency to travel more frequently to exotic and (sub)tropical countries.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |