A case of pregnancy complicated by the development of a Tubo-ovarian abscess following an aspiration of endometrioma during Oocyte pick up

28 yaşında nulligravid 26 hafta IVF gebeliği olan hasta şiddetli karın ağrısı şikayetiyle birimimize başvurdu. Hastanın IVF siklusu sırasında endometriyoma aspirasyon öyküsü vardı. Semptomatik pelvik enflamatuvar hastalık veya abdominal cerrahi öyküsü yoktu. Hastanın gebeliği, karın ağrısının başladığı 18. haftaya kadar iyi ilerlemişti. Gebelik haftası 26 haftaya geldiğinde hastanın ateş yüksekliği oldu ve karın ağrısı şiddetlendi. Hasta acil operasyona alındı. Operasyon sırasında abdominal kaviteyi dolduran pürülan sıvı ve sağ adneksiyal bölgede 10 cm’lik tuboovaryen abse izlendi. Abse drene edildi ve kist duvarı çıkarıldı. Postoperative dönemde hastaya intravenöz metronidazol ve seftriakson tedavisi ile tokolitik tedavi olarak magnezyum sülfat ve indometazin verildi. Ayrıca tedaviye betametazon eklendi. Gebeliğin 38. haftasında hasta vajinal yolla 3150 gr sağlıklı bebek doğurdu.

Oosit toplanması sırasında yapılan endometriyoma aspirasyonu sonrası gebelikte tuboovarian abse gelişimi: Olgu sunumu

A 28 year old nulligravid woman applied to our department at 26 weeks’ gestation with a severe ab- dominal pain. She had a medical history of an endometrioma aspiration during IVF cycle. There was no history of symptomatic pelvic inflammatory disease or abdominal surgery. Her pregnancy was pro- gressing well until 18 weeks gestation, when she started to complain of abdominal pain. When she reached 26 weeks gestation she got fever and her abdominal pain became more severe. The patient was operated urgently. During laparatomy, we observed purulent fluid filling the abdominal cavity and a 10 cm right adnexial mass compatible with tuboovarian abscess. We drained the abscess and excised her cyst with its wall. She was started on intravenous antibiotics-metronidazole and ceftriakson, tocolytic treatment with magnesium sulfate and indometazine. Also betametazone was added to her treatment. The patient delivered vaginally at 38 weeks of gestation. The baby was healthy and weighed 3150 gr.

Kaynakça

1.Kim JW, Lee WS, Yoon TK, Han JE. Term delivery following tuboovarian abscess after in vitro fertilization and embryo transfer. Am J Obstet Gynecol 2013;208(5):3-6.

2.Stubbs RE, Monif GRG. Ruptured tubo-ovarian abscess in pregnancy: recovery of a penicillinase-producing strain of Neisseria gonorrhoeae. Sex Transm Dis 1985;12:235-7

3.Orr JW, Bull J, Younger JB. Infected Mullerian anomaly: unusual cause of pelvic abscess during pregnancy. Am J Obstet Gynecol 1986;155:368-70

4.Biringer K, Zubor P, Visnovsky J, Danko J. Delayed de- livery following unusual flare-up pelvic abscess after in vitro fertilization and embryo transfer. Fertil Steril 2009; 91(5):5-7.

5.Dashow EE, Cotterill R, BeMiller D. Ruptured tubo-ovar- ian abscess in early gestation. J Reprod Med 1990;35: 418-9

6.Jafari K, Vilovic-Kos J, Webster A, Stepto RC. Tubo-ovar- ian abscess in pregnancy. Acta Obstet Gynecol Scand 1977;56:1-4

7.Sherer DM, Schwartz BM, Abulafia O. Management of pelvic abscess during pregnancy: a case and review of the literature. Obstet Gynecol Surv 1999;54:655-62

8.Curtis P, Amso N, Keith E, Bernard A, Shaw RW: Evaluation of the risk of pelvic infection following trans- vaginal oocyte recovery. Hum Reprod 1991;6(9):1294-7

9.Zanetta G, Lissoni A, Dalla Valle C, Trio D, Pittelli M, Rangoni G: Ultrasound-guided aspiration of endometri- omas: possible applications and limitations. Fertil Steril 1995;64:709-13

10.Younis S, Ezra Y, Laufer N, Ohel G. Late manifestation of pelvic abscess following oocyte retrieval, for in vitro fer- tilization, in patients with severe endometriosis and ovar- ian endometriomata. J Assist Reprod Genet 1997;14:43- 46

11.Blanchard AC, Pastorec JG, Weeks T. Pelvic inflamma- tory disease during pregnancy. South Med J 1987;80: 1363-5

12.Sharpe K, Karovitch AJ, Claman P, Suh KN. Transvaginal oocyte retrieval for in vitro fertilization complicated by ovarian abscess during pregnancy Fertil Steril 2006;86 (1):11-3.

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