Ovarian endometriosis cyst concurrent with pelvic abscess and intestinal obstruction after oocyte retrieval: 1 case analysis and literature review

Abstract

Objective To investigate the reproduction strategy choice of endometriosis (EMS) patients with infertility, the risk of ovarian EMS cyst treated conservatively, the risk and prevention of ovarian EMS cyst concurrent with pelvic abscess after oocyte retrieval. Methods A case about ovarian endometriosis cyst concurrent with pelvic abscess and intestinal obstruction after oocyte retrieval was analyzed and the literatures were reviewed. Results The EMS infertile patient complicated with pelvic abscess, basin celiac adhesion and part of intestinal obstruction after oocyte retrieval failed in conservative treatment and was finally cured with surgery. Conclusion To select the best assisted reproduction strategy of EMS infertility, many factors should be considered comprehensively such as age, ovarian function, disease severity, and male factors. To prevent infection after oocyte retrieval, preoperative vaginal preparation could conduct more thorough before transvaginal oocyte retrieval, intraoperative standardized operation is contributed to avoid puncturing vaginal wall repetitively, at the same time avoid piercing chocolate cyst and use broad-spectrum antibiotics to prevent infection postoperatively. For patients with pelvic infection, frozen embryo and selective transfer are considered. Key words: Ovarian endometriosis cyst; Pelvic abscess; Intestinal obstruction; Oocyte retrieval; In vitro fertilization-embryo transfer (IVF-ET)