Transvaginal drainage of ascites as an alternative to abdominal paracentesis in patients with sever ovarian hyperstimulation syndrome, obesity, and generalized edema

Arieh Raziel, Shevach Friedler, Morey Schachter, Deborah Strassburger, Ian Bukovsky, Raphael Ron-El

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To describe an alternative technique for transvaginal drainage of ascites in a case of severe ovarian hyperstimulation syndrome (OHSS), generalized edema, and obesity. Design: Case report. Setting: A university-based hospital IVF and Reproductive Medicine Unit. Patient(s): A patient hospitalized with severe OHSS after IVF-ET in whom drainage of large amounts of ascitic fluid was necessary. Intervention(s): Ultrasonographic transvaginal insertion of a wire guide through a standard IVF needle into the Douglas pouch. Placement of a 'peel-away' set on the wire, which was replaced with a 'pigtail' indwelling catheter. Main Outcome Measure(s): amount of drained ascitic fluid. Result(s): Ascitic fluid was drained efficiently, leading to improvement of the patient's condition. Conclusions(s): Transvaginal ultrasonography-guided insertion of a pigtail catheter though the Douglas pouch is an efficacious procedure when the abdominal approach for decompression of ascites is difficult.

Original languageEnglish
Pages (from-to)780-783
Number of pages4
JournalFertility and Sterility
Volume69
Issue number4
DOIs
StatePublished - Apr 1998
Externally publishedYes

Keywords

  • Ascites
  • IVF-ET complications
  • Severe OHSS

Fingerprint

Dive into the research topics of 'Transvaginal drainage of ascites as an alternative to abdominal paracentesis in patients with sever ovarian hyperstimulation syndrome, obesity, and generalized edema'. Together they form a unique fingerprint.

Cite this