Pérez Ocharán M, Serviere Zaragoza C, Barrón Vallejo J, Alvarado Durán A, Kably Ambe A
Instituto Nacional de Perinatología, Méx., D.F.
Ginecol Obstet Mex. 1995 Feb;63:102-3.
Patient with primary sterility; antecedent of tubal surgery and damaged tuboperitoneal factor; she was programmed for in vitro fertilization with embryo transference. She had ovarian hyperstimulation with pure FSH and menotropins; follicular aspiration, via vagina with ultrasonographic guidelines. Seven days after, she presented with colic pain at left iliac region a hard, painful mass was found at left iliac region. Uterus deviated to the right, painful to movement; left vaginal cul de sac increased in volume and left adnexal tumor, without limits; left pararectal tumor. Exploratory laparoscopy was done, with pelvic abscess drainage, 10 to 12 cm, and left oophorectomy; the diagnosis was left pyo-ovary. Normal evolution.
原发性不育患者；有输卵管手术史及输卵管-腹膜因素受损；计划进行体外受精并胚胎移植。她使用纯促卵泡素和促性腺激素进行了卵巢过度刺激；在超声引导下经阴道进行卵泡抽吸。七天后，她出现左髂区绞痛，在左髂区发现一个坚硬、疼痛的肿块。子宫向右偏移，活动时疼痛；左阴道后穹窿容积增大，左附件区肿瘤，边界不清；左直肠旁肿瘤。进行了探查性腹腔镜检查，引流了10至12厘米的盆腔脓肿，并进行了左侧卵巢切除术；诊断为左侧卵巢积脓。病情进展正常。
