Presentation
Right lower quadrant pain and fevers D10 post egg pick up for IVF. Collection post egg-retrieval?
Patient Data
The uterus is anteverted and enlarged, measuring 99 x 133 x 105 mm (vol: 725 ml).
There is a large solitary fibroid measuring 76 x 76 x 71 mm. It is heterogeneous with increased echogeniticy relative to the myometrium.
Heterogeneous, mobile material is present within the endometrial cavity, to a volume of approximately 25ml. This likely represents blood.
The right ovary measures 52 mm x 34 mm x 39 mm (36 cc) and contains 16 follicles with the largest follicle measuring 24 mm.
The left ovary measures 54 mm x 39 mm x 42 mm (46 cc) and contains 15 follicles with the largest follicle measuring 24 mm.
No free fluid or collection in the pelvis.
The uterus is anteverted and enlarged due to the presence of a dominant fibroid.
Uterine dimensions: 11.8 x 10.2 x 10.1 cm; volume 644 cc.
The dominant fibroid characteristics are as follows.
Size: 8.1 x 7.2 x 7.0 cm (216 ml) - essentially unchanged since recent ultrasound.
Case Discussion
Features of fibroid red degeneration in the context of IVF/egg retreival.
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