Peritonitis after a ruptured left pyosalpinx in a patient undergoing in vitro fertilization.

OBJECTIVE

To report acute abdomen in a young woman with infertility due to small asymptomatic bilateral hydrosalpinges who was on the 12th day of an IVF cycle.

DESIGN

Case report.

SETTING

Private IVF clinic.

PATIENT(S): A 35-year-old woman with asymptomatic bilateral hydrosalpinges.

INTERVENTION(S): Abdominal laparoscopy.

MAIN OUTCOME MEASURE(S): Pus and a ruptured left pyosalpinx.

RESULTS

The patient suddenly developed acute abdomen while lifting a disabled person at a nursing home where she worked as a nurse. About 200 mL of pus was aspirated, and the patient had a ruptured left pyosalpinx. Bilateral salpingectomy was done by laparoscopy; the patient's postoperative recovery was uneventful.

CONCLUSION

We report a rare case of acute abdomen due to peritonitis after a ruptured pyosalpinx in an IVF patient who lifted a disabled person.