A case of pregnancy complicated by the development of a tubo-ovarian abscess following in vitro fertilization and embryo transfer

Yuko Matsunaga, Kotaro Fukushima, Masahiro Nozaki, Naoyuki Nakanami, Yoshiaki Kawano, Toshiyuki Shigematsu, Shoji Satoh, Hitoo Nakano

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37 Citations (Scopus)


Tubo-ovarian abscess is an uncommon complication in pregnant women. In this report, we present a patient who developed a tubo-ovarian abscess during pregnancy following in vitro fertilization and embryo transfer (IVF-ET). Despite treatment with intravenous antibiotics she delivered at 22 weeks of gestation. After delivery, she underwent a left salpingo-oophorectomy. Review of the literature revealed only 26 reported cases of tubo-ovarian or pelvic abscess during pregnancy. Pelvic inflammatory disease, previous laparotomy, and structural genital anomalies are known risk factors for pelvic abscess during pregnancy. Pelvic abscess resulting as a complication of vaginal oocyte retrieval has been reported. Therefore, although enabling women with organic pelvic disease such as endometriosis and hydrosalpinx to achieve pregnancy, assisted reproductive techniques may potentially result in pelvic infection during pregnancy. This case suggests that a preconception evaluation and treatment for such conditions should be considered for women undergoing treatment for infertility.

Original languageEnglish
Pages (from-to)277-282
Number of pages6
JournalAmerican Journal of Perinatology
Issue number6
Publication statusPublished - Aug 1 2003


All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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