1/14. broad ligament twin pregnancy following in-vitro fertilization.We report the first case of an ectopic twin pregnancy in the broad ligament following in-vitro fertilization and embryo transfer in a patient with a previous ipsilateral (left) salpingo-oophorectomy. The previous surgery was for endometriosis. We discuss the possible contribution of the embryo transfer technique, limitations of preventive measures and importance of transvaginal ultrasound in establishing the diagnosis.- - - - - - - - - - ranking = 1keywords = fertilization (Clic here for more details about this article) |
2/14. Pelvic abscess in the second half of pregnancy after oocyte retrieval for in-vitro fertilization: case report.We describe a very late manifestation of pelvic abscesses after oocyte retrieval for in-vitro fertilization (IVF). In a twin pregnancy achieved after intracytoplasmic sperm injection, rupture of bilateral ovarian abscesses occurred at the end of the second trimester. An emergency laparotomy was necessary because of an acute abdomen. This complication led to severe maternal and neonatal morbidity, preterm birth and neonatal death. The rare occurrence of acute abdomen in pregnancy due to pelvic infection and the non-specific symptoms of a pelvic abscess after oocyte retrieval for IVF are discussed.- - - - - - - - - - ranking = 1keywords = fertilization (Clic here for more details about this article) |
3/14. Empty follicle syndrome associated with ovarian torsion in an in vitro fertilization program.We report a very rare case of ovarian torsion following controlled ovarian stimulation for in vitro fertilization in which no oocytes were obtained at the time of ovum retrieval from the left torsed ovary. The patient was a 33-year-old nulligravida female undergoing controlled ovarian stimulation. On day 14, the patient complained of lower left abdominal pain with nausea. Transvaginal oocyte retrieval from the right ovary was performed. The patient subsequently underwent laparoscopy 6 hours following oocyte retrieval. A portion of the left ovary was observed. The ovary was detorsed at the time of laparoscopy followed by peritoneal lavage.- - - - - - - - - - ranking = 1keywords = fertilization (Clic here for more details about this article) |
4/14. Spontaneous conception in a young woman who had ovarian cortical tissue cryopreserved before chemotherapy and radiotherapy for a Ewing's sarcoma of the pelvis: case report.We report the case of a 14 year old girl who presented with a non-metastatic Ewing's sarcoma involving her superior pubic ramus. She received 14 courses of alkylating agent-based chemotherapy and direct radiation to her hemi-pelvis (55 Gy) and is alive and disease-free 8 years later. Multiple biopsies of ovarian cortical tissue were cryopreserved, with her written consent, before treatment began. Ovarian failure was confirmed on completion of treatment with cessation of menses and persistently elevated serum gonadotrophin and low estradiol levels on repeated measurement over 2 years. HRT was initiated. Irregular vaginal bleeding occurred due to radiation vaginitis. Reimplantation of ovarian cortical tissue was considered at 19 years as fertility was desired, but the decision deferred. A spontaneous conception occurred 1 year later and a healthy boy (birthweight 2.9 kg, 3rd-10th centile) was delivered at term by elective Caesarean section. This is the first case of a spontaneous conception occurring in a young woman with documented ovarian failure in whom ovarian cortical tissue had been cryopreserved. Clinicians should be aware of the possibility of spontaneous conception despite confirmed ovarian failure in young women successfully treated for cancer.- - - - - - - - - - ranking = 0.01113507861859keywords = conception (Clic here for more details about this article) |
5/14. Transvaginal oocyte retrieval for in vitro fertilization complicated by ovarian abscess during pregnancy.OBJECTIVE: To describe an ovarian abscess presenting very late after oocyte retrieval for IVF with several unusual clinical features. DESIGN: Case report. SETTING: Academic medical center. PATIENT(S): A 35-year-old nulliparous woman underwent IVF with uncomplicated transvaginal oocyte retrieval (TVOR), resulting in a dizygotic twin pregnancy. At 13 weeks of pregnancy she presented with vaginal discharge, but was otherwise constitutionally well. At 30 weeks she developed a low-grade fever, and the diagnosis of ovarian abscess was made. She received broad-spectrum antibiotics, and the abscess was drained percutaneously after cesarean delivery of twins. INTERVENTION(S): Antimicrobial therapy; cesarean section; postpartum percutaneous drainage. MAIN OUTCOME MEASURE(S): Clinical and radiologic resolution of infection. RESULT(S): Complete resolution of the abscess; delivery of healthy twins. CONCLUSION(S): Infectious complications of TVOR and other surgical procedures usually occur within days of the intervention. Our case illustrates the possibility of infectious complications of TVOR presenting months after the procedure. Our patient did not become acutely ill due to the formation of a spontaneous vaginal fistula, which allowed the abscess to drain. The optimal management of this complication is unclear, but final resolution of any pelvic abscess generally requires drainage.- - - - - - - - - - ranking = 0.8keywords = fertilization (Clic here for more details about this article) |
6/14. ovarian hyperstimulation syndrome (OHS): a case of severe OHS.A 26 year old patient, who underwent an ovulation stimulation therapy (clomiphene /UH-FSH), monitored only by ultrasound presented a severe ovarian hyperstimulation syndrome (OHS). beta-HCG values confirmed conception, that outcame in an abortion. During an ovulation stimulation therapy, patient's management with the ultrasound examination, is often inadequate and it's moreover necessary to determine the 17 beta E2 levels.- - - - - - - - - - ranking = 0.0015907255169415keywords = conception (Clic here for more details about this article) |
7/14. Ovarian hyperstimulation presenting as acute hydrothorax after in vitro fertilization.Ovarian hyperstimulation that occurs with an isolated hydrothorax as the only symptom has previously been reported. We describe the second such case, the first to occur after in vitro fertilization and embryo transfer.- - - - - - - - - - ranking = 1keywords = fertilization (Clic here for more details about this article) |
8/14. Severe ovarian hyperstimulation syndrome. case reports.ovarian hyperstimulation syndrome (OHSS) is a serious complication of ovulation induction. It is most often associated with the administration of human menopausal gonadotropins (hMG) or purified preparation of follicle stimulating hormone (FSH), but has also been reported after clomiphene (CC) and in patients with hydatiform mole and chorioepithelioma. Moreover, OHSS has been observed in cases of multiple pregnancy unrelated to the use of fertility drugs. In recent years, the hormonal induction of ovulation has been practised to an increasing degree, partly due to the extended use in vitro fertilization (IVF) and gamete intra fallopian transfer (GIFT) techniques in the treatment of infertility. This trend will undoubtedly result in a growing number of patients with OHSS: For this reason, it is important to elucidate the pathophysiological mechanisms responsible for trigging this condition and discuss the treatment possibilities once it has arisen. We will present three patients who developed OHSS after different attempts at ovulation induction. Interestingly, aspiration of the follicles, which was carried out in two of the cases, did not influence the progress of the condition.- - - - - - - - - - ranking = 0.2keywords = fertilization (Clic here for more details about this article) |
9/14. 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 = fertilization (Clic here for more details about this article) |
10/14. Infected endometriotic cysts secondary to oocyte aspiration for in-vitro fertilization.Two weeks after oocyte aspiration for in-vitro fertilization, a 38-year-old woman with a history of endometriosis presented with abdominal pain and fever. On exploratory laparotomy, both ovaries were enlarged and contained seropurulent fluid. Unilateral oophorectomy and drainage of the other ovary were performed. Pathological examination revealed infected endometriotic cysts.- - - - - - - - - - ranking = 1keywords = fertilization (Clic here for more details about this article) |
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