In vitro fertilization and pregnancy management in a woman with acquired idiopathic chylous ascites

Ai Sakamoto, Yasuhiko Kamada, Sayoko Kotani, Kiyoshi Yamada, Yoshihiro Kimata, Yuji Hiramatsu

Research output: Contribution to journalArticle

Abstract

Acquired idiopathic chylous ascites is extremely rare in women of reproductive age. This is the first report describing successful infertility and pregnancy management in a patient with idiopathic chylous ascites. A 23-year-old woman presented with abdominal distention and was diagnosed with idiopathic fluid collection. A lymphogram revealed lymphatic leakage from the right renal hilum. Lymphatic-venous anastomosis of the thoracic duct was performed thrice, but the chylous ascites persisted. In vitro fertilization was performed because natural conception was not possible. Just prior to oocyte retrieval, transvaginal drainage of ascites was performed. In total, nine blastocysts were obtained and cryopreserved. Single frozen embryo transfer was performed, including hormone replacement therapy. The patient became pregnant and the ascites spontaneously decreased as the pregnancy progressed, finally disappearing around gestational week 20. A healthy baby was delivered transvaginally. Ascites began to reaccumulate on post-partum day 1 and returned to the pre-pregnancy level within a month.

Original languageEnglish
Pages (from-to)1773-1777
Number of pages5
JournalJournal of Obstetrics and Gynaecology Research
Volume43
Issue number11
DOIs
Publication statusPublished - Nov 2017

Keywords

  • assisted reproductive technique
  • chylous ascites
  • disease management
  • in vitro fertilization
  • pregnancy complication

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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