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Human Reproduction, Vol. 14, No. 11, 2748-2750, November 1999
© 1999 European Society of Human Reproduction and Embryology

Severe pelvic adhesions following attempted ultrasound-guided drainage of bilateral ovarian endometriomas: Case report

Timothy S. Garvey, Ralph R. Kazer and Magdy P. Milad1

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Northwestern University Medical School, 333 East Superior Street, Chicago, Illinois 60611, USA

A 38 year old woman was thought to have bilateral polycystic ovaries and an absence of pelvic or abdominal adhesions at diagnostic laparoscopy. Post-operative transvaginal ultrasound noted bilateral homogeneous hypo-echoic masses with low-level echoes consistent with endometriomas. Transvaginal aspiration was unsuccessful due to the viscosity of the cyst contents. At second laparoscopy severe adhesions with complete cul-de-sac obliteration were noted. This case raises concern about pelvic adhesions following transvaginal drainage of ovarian endometriomas.

Key words: endometrioma/endometriosis/pelvic adhesions/ultrasound-guided drainage

1 To whom correspondence should be addressed


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