Case Report
Perinatal Care for a Patient with Abdominal Cocoon Undergoing in Vitro Fertilization Embryo Transfer and Complicated by Recurrent Urinary Retention: A Case Report
Hui Yang*
,
Rong Liao
Issue:
Volume 14, Issue 1, February 2025
Pages:
1-7
Received:
17 December 2024
Accepted:
2 January 2025
Published:
16 January 2025
DOI:
10.11648/j.ajns.20251401.11
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Abstract: Introduction: Abdominal cocoon is a rare and complex disease with significant complications. The management of pregnant patients with abdominal cocoon is rarely reported. Clinical Findings: A 31-year-old infertile Chinese woman with abdominal cocoon, undergoing in vitro fertilization embryo transfer, was admitted to the hospital twice due to recurrent urinary retention. Prior to this pregnancy, she had undergone four unsuccessful embryo transfers and was diagnosed with abdominal cocoon during laparoscopy for bilateral tubal blockage. Diagnosis: Laparoscopy revealed a blockage in both fallopian tubes and severe adhesions in the abdominal-pelvic cavity, confirming the diagnosis of abdominal cocoon. Interventions: The treatment team organized a multi-disciplinary consultation with experts during the patient's last hospitalization and developed a nursing care plan. The patient received vigilant monitoring for bladder function, catheter care, and the prevention of urinary tract infections during pregnancy, along with nursing care for postoperative complications. Outcomes: The patient was discharged after 9 days. A healthy female neonate was delivered by cesarean section, and both mother and baby recovered well after the operation. Pathological examination revealed peritoneal fibrosis, but no other issues or postpartum complications occurred. Conclusion: This case report highlights the nursing care required for a patient with abdominal cocoon undergoing IVF embryo transfer and complicated by recurrent urinary retention. It demonstrates a practical approach to managing a complex and rare disease in pregnant women.
Abstract: Introduction: Abdominal cocoon is a rare and complex disease with significant complications. The management of pregnant patients with abdominal cocoon is rarely reported. Clinical Findings: A 31-year-old infertile Chinese woman with abdominal cocoon, undergoing in vitro fertilization embryo transfer, was admitted to the hospital twice due to recurr...
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