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Iranian Journal of Reproductive Medicine
Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences of Yazd
ISSN: 1680-6433
EISSN: 2008-2177
Vol. 7, No. 1, 2009, pp. 41-43
Bioline Code: rm09008
Full paper language: English
Document type: Case Report
Document available free of charge

Iranian Journal of Reproductive Medicine, Vol. 7, No. 1, 2009, pp. 41-43

 en A ruptured tubo-ovarian abscess after intrauterine insemination; a case report
Moradan, Sanam

Abstract

Background: Pelvic inflammatory disease is one of the most serious infection and one of the important and life threatening complications of it is tubo-ovarian abscess. This infection with intrauterine insemination (IUI) is rare. We report a case of ruptured tubo- ovarian abscess after (IUI).
Case: A 27 years old woman was referred to our center with acute abdominal pain and fever one week after IUI. The diagnosis was PID and after treatment with intravenous antibiotics she was still febrile after 3days and had generalized tenderness in abdominal exam. Therefore, laparatomy was performed and left fallopian tube ruptured abscess was detected. Left salpingectomy was done. The patient developed dyspnea and tachypnea in second day post operation and echocardiography with spiral CT scan was normal. So a mild ARDS was considered .The patient was discharged from hospital 5 days after operation in good condition.
Conclusion: This is a case of PID, tubal abscess and ARDS after IUI and it is necessary to keep in mind this diagnosis after IUI.

Keywords
Pelvic inflammatory disease, Tubo-ovarian abscess, Intrauterine insemination

 
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Alternative site location: http://www.ijrm.ir

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