Massive hematuria with hemodynamic instability--complication of oocyte retrieval
Krishnapillai Jayakrishnan, Vikraman Kaithavelil Raman, Vinod Kochunarayanapillai Vijayalakshmi, Sumeet Baheti, Divya Nambiar, Krishnapillai Jayakrishnan, Vikraman Kaithavelil Raman, Vinod Kochunarayanapillai Vijayalakshmi, Sumeet Baheti, Divya Nambiar
Abstract
Objective: To report a case of pseudoaneurysm causing massive hematuria with hemodynamic instability occurring after oocyte retrieval.
Design: Case report.
Setting: Tertiary care infertility clinic.
Patient(s): A 34-year-old woman with endometriosis undergoing oocyte aspiration for IVF.
Intervention(s): Blood transfusion, cystoscopy, and resection and cauterization of pseudoaneurysm.
Main outcome measure(s): Control of hematuria and hemodynamic stability.
Result(s): Massive hematuria occurred after oocyte retrieval. Blood transfusion was given. Cystoscopy was done, and a bleeding pseudoaneurysm was seen. It was resected and cauterized.
Conclusion(s): Pseudoaneurysm after oocyte retrieval has not been reported before. It resulted in massive hematuria causing hemodynamic instability. Immediate resuscitation and cystoscopy should be performed on all patients who present with persistent hematuria after oocyte retrieval. Injury to surrounding structures should always be kept in mind during oocyte retrieval.
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Source: PubMed