Live birth after assisted reproductive technology treatment in a case with lumboperitoneal shunt following intracranial pathology

Lumbar peritoneal shunt is a technique of cerebrospinal fluid diversion from the lumbar thecal sac to the peritoneal cavity. By diverting, a second compartment of the body; abdomen starts to accompany the case as a new problem source. 32 years old woman who had been considered to be primary infertile for fifteen years applied to our infertility clinic. She had a transsphenoidal surgery due to macroadenoma of pituitary gland fourteen years ago. By trans-vaginal ultrasonography we revealed 4 antral follicles and diffuse ascites in pouch of douglas due to the shunt. There were spicular projections fom uterus and bowel serosa to inner abdominal wall, that we thought about severe intraabdominal adhesions. Controlled ovarian hyperstimulation was started with 300 IU menotropin on third day of the cycle. We yielded 4 oocyte. One grade-1 embryo transferred at day two. After two weeks hCG positivity was determined. At 39th week 3 900 g female baby was born vaginaly with 1st minute apgar score as 9 and 5th minute apgar score as 10.