A case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval

A 31-year-old nulliparous Japanese woman visited the clinic due to worsening dysmenorrhea. A cystic endometriotic lesion was found in the vesico-uterine pouch. Laparoscopic surgery was chosen due to the severe dysmenorrhea. Her first oocyte retrieval attempt was performed at in-vitro fertilization c...

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Autores principales: Shigeru Matsuda, Shigeo Akira, Hanako Kaseki, Kenichiro Watanabe, Shuichi Ono, Masao Ichikawa, Toshiyuki Takeshita
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:4953fa8424e74db7af1d4ac36a8b624c2021-11-12T10:10:38ZA case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval2213-307010.4103/GMIT.GMIT_12_20https://doaj.org/article/4953fa8424e74db7af1d4ac36a8b624c2021-01-01T00:00:00Zhttp://www.e-gmit.com/article.asp?issn=2213-3070;year=2021;volume=10;issue=4;spage=252;epage=255;aulast=Matsudahttps://doaj.org/toc/2213-3070A 31-year-old nulliparous Japanese woman visited the clinic due to worsening dysmenorrhea. A cystic endometriotic lesion was found in the vesico-uterine pouch. Laparoscopic surgery was chosen due to the severe dysmenorrhea. Her first oocyte retrieval attempt was performed at in-vitro fertilization clinic before the planned surgery. However, she complained of abdominal pain on day 6 after the retrieval. We diagnosed her with peritonitis with an abscessed cystic endometriotic lesion in the vesico-uterine pouch. Conservative treatment was ineffective. Therefore, laparoscopic surgery was performed. The cysts in the vesico-uterine pouch were drained of pus. No adhesions or lesions of endometriosis in the uterus, bilateral adnexa, or pelvic peritoneum were found. Although cystic endometriotic lesions in the vesico-uterine pouch are rare, they can form abscesses after oocyte retrieval. The possibility of abscesses formation risk must be considered. Moreover, following the management of endometrioma, sufficient medication should be administered to prevent this formation.Shigeru MatsudaShigeo AkiraHanako KasekiKenichiro WatanabeShuichi OnoMasao IchikawaToshiyuki TakeshitaWolters Kluwer Medknow Publicationsarticleabscessendometriosisfertilization in vitro laparoscopyoocyte retrievalGynecology and obstetricsRG1-991ENGynecology and Minimally Invasive Therapy, Vol 10, Iss 4, Pp 252-255 (2021)
institution DOAJ
collection DOAJ
language EN
topic abscess
endometriosis
fertilization in vitro
laparoscopy
oocyte retrieval
Gynecology and obstetrics
RG1-991
spellingShingle abscess
endometriosis
fertilization in vitro
laparoscopy
oocyte retrieval
Gynecology and obstetrics
RG1-991
Shigeru Matsuda
Shigeo Akira
Hanako Kaseki
Kenichiro Watanabe
Shuichi Ono
Masao Ichikawa
Toshiyuki Takeshita
A case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval
description A 31-year-old nulliparous Japanese woman visited the clinic due to worsening dysmenorrhea. A cystic endometriotic lesion was found in the vesico-uterine pouch. Laparoscopic surgery was chosen due to the severe dysmenorrhea. Her first oocyte retrieval attempt was performed at in-vitro fertilization clinic before the planned surgery. However, she complained of abdominal pain on day 6 after the retrieval. We diagnosed her with peritonitis with an abscessed cystic endometriotic lesion in the vesico-uterine pouch. Conservative treatment was ineffective. Therefore, laparoscopic surgery was performed. The cysts in the vesico-uterine pouch were drained of pus. No adhesions or lesions of endometriosis in the uterus, bilateral adnexa, or pelvic peritoneum were found. Although cystic endometriotic lesions in the vesico-uterine pouch are rare, they can form abscesses after oocyte retrieval. The possibility of abscesses formation risk must be considered. Moreover, following the management of endometrioma, sufficient medication should be administered to prevent this formation.
format article
author Shigeru Matsuda
Shigeo Akira
Hanako Kaseki
Kenichiro Watanabe
Shuichi Ono
Masao Ichikawa
Toshiyuki Takeshita
author_facet Shigeru Matsuda
Shigeo Akira
Hanako Kaseki
Kenichiro Watanabe
Shuichi Ono
Masao Ichikawa
Toshiyuki Takeshita
author_sort Shigeru Matsuda
title A case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval
title_short A case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval
title_full A case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval
title_fullStr A case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval
title_full_unstemmed A case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval
title_sort case of an abscessed cystic endometriotic lesion in the vesico-uterine pouch after oocyte retrieval
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/4953fa8424e74db7af1d4ac36a8b624c
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