Vaginal perforation during transvaginal ultrasound-guided follicle aspiration in a woman undergoing multiple cycles of assisted reproduction

Abstract

Objective To report a case of vaginal perforation during transvaginal ultrasound-guided follicle aspiration. Design Case report. Setting A university hospital. Patient(s) A 41-year-old woman who had undergone transvaginal ultrasound-guided follicle aspiration five times previously for IVF–embryo transfer. Intervention(s) Retrospective evaluation of past medical history and surgical treatment. Main outcome measure(s) Medical follow-up after surgical repair of the perforation. Result(s) Simple vaginal perforation with no damage to the gastrointestinal or genitourinary systems can be repaired at the time of perforation through the vagina. Conclusion(s) Perforation of the vagina is a possible complication of transvaginal ultrasound-guided follicle aspiration in older patients with a history of repeated transvaginal aspiration of follicles, particularly when the ovaries are difficult to visualize.