Tubo-peritoneal factor infertility: a distant sequel to intrauterine transfusion for rhesus disease

A patient presented with infertility 28 years after receiving four intrauterine transfusions as a fetus for rhesus haemolytic disease. Extensive adhesions were found in the peritoneal cavity affecting in particular the ovarian retrieval mechanism. No other possible cause for the situation could be discerned. Patients who have undergone pioneering techniques such as this are now adults and may be trying to conceive. When confronted by such a history there is therefore a need for early thorough investigation of the tubal peritoneal factor.