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Peritonitis after a ruptured left pyosalpinx in a patient undergoing in vitro fertilization
Paul Kihaile1, Juinichi Misumi, Takafumi Utsunomiya
1St. Luke Hospital and Oita Medical University, Oita, Japan. kihaile@oita-med.ac.jp
Objective:
To report acute abdomen in a young woman with infertility due to small asymptomatic bilateral hydrosalpinges who was on the 12th day of an IVF cycle.
Design:
Case report.
Setting:
Private IVF clinic.
Patient(S):
A 35-year-old woman with asymptomatic bilateral hydrosalpinges.
Intervention(S):
Abdominal laparoscopy.
Main Outcome Measure(S):
Pus and a ruptured left pyosalpinx.
Results:
The patient suddenly developed acute abdomen while lifting a disabled person at a nursing home where she worked as a nurse. About 200 mL of pus was aspirated, and the patient had a ruptured left pyosalpinx. Bilateral salpingectomy was done by laparoscopy; the patient's postoperative recovery was uneventful.
Conclusion:
We report a rare case of acute abdomen due to peritonitis after a ruptured pyosalpinx in an IVF patient who lifted a disabled person.