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.
| Published in | American Journal of Nursing Science (Volume 14, Issue 1) |
| DOI | 10.11648/j.ajns.20251401.11 |
| Page(s) | 1-7 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Nursing, Pregnancy, Abdominal Cocoon, Recurrent Urinary Retention
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APA Style
Yang, H., Liao, R. (2025). Perinatal Care for a Patient with Abdominal Cocoon Undergoing in Vitro Fertilization Embryo Transfer and Complicated by Recurrent Urinary Retention: A Case Report. American Journal of Nursing Science, 14(1), 1-7. https://doi.org/10.11648/j.ajns.20251401.11
ACS Style
Yang, H.; Liao, R. Perinatal Care for a Patient with Abdominal Cocoon Undergoing in Vitro Fertilization Embryo Transfer and Complicated by Recurrent Urinary Retention: A Case Report. Am. J. Nurs. Sci. 2025, 14(1), 1-7. doi: 10.11648/j.ajns.20251401.11
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Download@article{10.11648/j.ajns.20251401.11,
author = {Hui Yang and Rong Liao},
title = {Perinatal Care for a Patient with Abdominal Cocoon Undergoing in Vitro Fertilization Embryo Transfer and Complicated by Recurrent Urinary Retention: A Case Report
},
journal = {American Journal of Nursing Science},
volume = {14},
number = {1},
pages = {1-7},
doi = {10.11648/j.ajns.20251401.11},
url = {https://doi.org/10.11648/j.ajns.20251401.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20251401.11},
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.
},
year = {2025}
}
TY - JOUR T1 - Perinatal Care for a Patient with Abdominal Cocoon Undergoing in Vitro Fertilization Embryo Transfer and Complicated by Recurrent Urinary Retention: A Case Report AU - Hui Yang AU - Rong Liao Y1 - 2025/01/16 PY - 2025 N1 - https://doi.org/10.11648/j.ajns.20251401.11 DO - 10.11648/j.ajns.20251401.11 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 1 EP - 7 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20251401.11 AB - 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. VL - 14 IS - 1 ER -
The Second Xiangya Hospital of Central South University, Changsha, China
The Second Xiangya Hospital of Central South University, Changsha, China
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