Case report: interventional radiology's potential role for in vitro fertilization post ovarian transposition and pelvic radiation.

Fertility research and practice Pub Date : 2019-04-02 eCollection Date: 2019-01-01 DOI:10.1186/s40738-019-0056-x

Benjamin Jang, Aaron Rohr, Paras P Vakharia, Zachary Collins, Courtney Marsh, Isabella Herrera, Thomas Fahrbach

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Abstract

Introduction: Ovarian transposition is a procedure that can help preserve fertility for female patients requiring radiation in the abdominopelvic region. However, the displacement of ovaries from its original anatomic location can make oocyte retrieval challenging.

Case presentation: A 24-year-old nulligravid patient recently diagnosed with colorectal carcinoma [CRC] underwent ovarian transposition prior to radiation. After radiation and chemotherapy, she began in vitro fertilization [IVF] by reproductive endocrinology and infertility physicians. Right ovary demonstrated nonviability due to failed transposition and radiation. Left ovarian oocytes were not able to be harvested due to risk of left kidney puncture via transvaginal ultrasound [TVUS]. Interventional Radiology [IR] was involved and performed a transabdominal ultrasound guided egg retrieval which led to successful IVF.

Conclusion: This case highlights the utility of IR-assisted transabdominal ultrasound approach for oocyte retrieval in patients with history of ovarian transposition.

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病例报告:介入放射学在卵巢转位和盆腔放射治疗后体外受精中的潜在作用。

简介:卵巢转位是一种手术，可以帮助保留生育能力的女性患者需要放射在腹部骨盆区域。然而，卵巢从其原始解剖位置的位移可以使卵母细胞的检索具有挑战性。病例介绍:一位24岁的无输卵管患者最近被诊断为结直肠癌[CRC]，在放疗前接受卵巢转位。在接受放疗和化疗后，她开始接受生殖内分泌和不孕不育医生的体外受精治疗。右卵巢因转位和放疗失败而不能存活。由于有经阴道超声(TVUS)穿刺左肾的风险，左侧卵巢卵母细胞无法采集。介入放射学[IR]参与并进行了经腹部超声引导下的取卵，导致试管婴儿成功。结论:本病例强调了红外辅助经腹超声入路在卵巢转位患者卵母细胞回收中的应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Fertility research and practice

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8 weeks