Benjamin Jang, Aaron Rohr, Paras P Vakharia, Zachary Collins, Courtney Marsh, Isabella Herrera, Thomas Fahrbach
{"title":"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。","authors":"Benjamin Jang, Aaron Rohr, Paras P Vakharia, Zachary Collins, Courtney Marsh, Isabella Herrera, Thomas Fahrbach","doi":"10.1186/s40738-019-0056-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>This case highlights the utility of IR-assisted transabdominal ultrasound approach for oocyte retrieval in patients with history of ovarian transposition.</p>","PeriodicalId":87254,"journal":{"name":"Fertility research and practice","volume":"5 ","pages":"4"},"PeriodicalIF":0.0000,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40738-019-0056-x","citationCount":"0","resultStr":"{\"title\":\"Case report: interventional radiology's potential role for in vitro fertilization post ovarian transposition and pelvic radiation.\",\"authors\":\"Benjamin Jang, Aaron Rohr, Paras P Vakharia, Zachary Collins, Courtney Marsh, Isabella Herrera, Thomas Fahrbach\",\"doi\":\"10.1186/s40738-019-0056-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>This case highlights the utility of IR-assisted transabdominal ultrasound approach for oocyte retrieval in patients with history of ovarian transposition.</p>\",\"PeriodicalId\":87254,\"journal\":{\"name\":\"Fertility research and practice\",\"volume\":\"5 \",\"pages\":\"4\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-04-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1186/s40738-019-0056-x\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Fertility research and practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40738-019-0056-x\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2019/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Fertility research and practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40738-019-0056-x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2019/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Case report: interventional radiology's potential role for in vitro fertilization post ovarian transposition and pelvic radiation.
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.