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Human Reproduction, Vol. 14, No. 9, 2402-2403, September 1999
© 1999 European Society of Human Reproduction and Embryology

Pelvic abscess in the second half of pregnancy after oocyte retrieval for in-vitro fertilization: Case report

Jan den Boon1,4, Catharina E.J.M. Kimmel2, Hélène T.C. Nagel3 and Jos van Roosmalen3

1 Department of Obstetrics and Gynaecology, Groene Hart Hospital, Graaf Florisweg 77–79, 2805 HH Gouda, 2 Department of Obstetrics, Neonatology and Gynaecology, University Hospital Utrecht, Heidelberglaan 100, 3584 CX Utrecht and 3 Department of Obstetrics, Leiden University Medical Centre, Albinusdreef 2, 2300 RC Leiden, The Netherlands

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.

Key words: complication/endometriosis/in-vitro fertilization/pelvic abscess/pregnancy complication

4 To whom correspondence should be addressed


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