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Ruptured tubo-ovarian abscess complicating transcervical cryopreserved embryo transfer
S Friedler1, I Ben-Shachar, Y Abramov
1Department of Obstetrics and Gynecology, Hadassah Hebrew University Medical School, Ein Kereum, Jerusalem.
Objective:
To present a rare infectious complication related to transcervical ET, without prior transvaginal puncture.
Design:
Case report.
Setting:
Hadassah University Hospital, IVF-ET unit.
Patient:
One patient undergoing cryopreserved-thawed ET.
Interventions:
Artificial preparation of the endometrium with E2 and P, followed by transcervical intrauterine cryopreserved-thawed embryo transfer.
Results:
After ET, severe pelvic inflammatory disease (PID) with ruptured tubo-ovarian abscess was diagnosed and treated.
Conclusions:
Severe PID including tubo-ovarian abscess formation should be considered a potential complication after ET, even without transvaginal oocyte aspiration.