|Interventional Radiology’s Potential Role for In Vitro Fertilization Post Ovarian Transposition and Pelvic Radiation|
|Benjamin Jang1, Aaron Rohr2, Paras Vakharia1, Zachary Collins3, Courtney Marsh4, Isabella Herrera5, Thomas Fahrbach6|
|1Department of Internal Medicine, MacNeal Hospital, Berwyn/IL, USA
2Department of Interventional Radiology, Stanford University, Palo Alto/CA, USA
3Department of Interventional Radiology,University of Kansas, Kansas City/KS, USA
4Department of Obstetrics and Gynecology,University of Kansas, Kansas City/KS, USA
5Department of Emergency Medicine,Riverside Community Hospital, Riverside/CA, USA
6Department of Interventional Radiology, Boulder Community Health, Boulder/CO, USA
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Keywords : Interventional radiology, Ultrasound, Transabdominal, Oocyte, In vitro fertilization
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Objectives: Ovarian transposition is a procedure that can help preserve fertility for female patients requiring radiation in the abdominopelvic region (1,2). However, the displacement of ovaries from its original anatomic location can make oocyte retrieval challenging (3).
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 non viability due to failed transposition and radiation. Left ovarian oocytes were not able to be harvested due to risk of left kidney puncture via trans vaginal ultrasound (TVUS). Interventional Radiology (IR) was involved and performed a trans abdominal ultrasound guided egg retrieval which led to successful IVF.
Conclusion: This case highlights the utility of IR-assisted trans abdominal ultrasound approach for oocyte retrieval in patients with history of ovarian transposition.
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