Medicina Fluminensis, Vol. 57 No. 2, 2021.
Case report
https://doi.org/10.21860/medflum2021_371655
Recurrent ovarian rupture – a complication of a medical procedure or a warning of increased risk for an adverse outcome in reproductive age? Case report
Ana Bošnjak
orcid.org/0000-0002-8353-3472
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
Neda Smiljan Severinski
; Klinika za ginekologiju i porodništvo, Klinički bolnički centar Rijeka; Hrvatska
Abstract
Abstract. Aim: To present a patient with recurrent ovarian ruptures in order to discuss the possibility of etiology of rupture that may occur at different stages of treatment in therefore predisposed patients. Case report: A-28-year-old patient was admitted to an emergency gynecological ambulance due to pain in the lower abdomen, dyspnea, and general weakness. That morning, the oocyte retrieval was done. In the laboratory findings, erythrocytes, hemoglobin, and hematocrit were reduced. Transvaginal ultrasound raised the suspicion of hemoperitoneum so urgent diagnostic laparoscopy was indicated. It confirmed the intraperitoneal bleeding whose cause was the ruptured ovary. Hemostasis was performed during the thermocauterization procedure. After five years, the patient continued infertility treatment by in vitro fertilization in the natural cycle in which the embryo was transferred. Two days later, the patient was admitted to an emergency gynecological ambulance due to pain in the lower abdomen. After the examination, the hemoperitoenum was suspected and confirmed by diagnostic laparoscopy, the bleeding was stopped. Three weeks after embryo’s transfer, the transvaginal ultrasound confirmed gestatinal sac located in uterus which confirmed the pregnancy. In the 26th week of pregnancy, preterm labor was caused by the rupture of the membranes so the delivery was completed by Caesarean section. Conclusion: The infertility treatment and events during the perinatal period indicate that recurrent ovarian ruptures are possible in predisposed patients. The presented case indicated a group of patients who are more prone to complications in different circumstances of reproductive age.
Keywords
hemoperitoneum; in vitro fertilization; ovarian cyst; preterm labor
Hrčak ID:
255663
URI
Publication date:
1.6.2021.
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