K.J.K. Hospital Fertility Research and Gynaecology Centre, Kerala, India.
Fertil Steril. 2011 Jul;96(1):e22-4. doi: 10.1016/j.fertnstert.2011.04.046. Epub 2011 May 19.
To report a case of pseudoaneurysm causing massive hematuria with hemodynamic instability occurring after oocyte retrieval.
Case report.
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.
报告一例取卵后发生假性动脉瘤导致大量血尿伴血流动力学不稳定的病例。
病例报告。
三级不孕症诊所。
一名 34 岁的子宫内膜异位症患者，因 IVF 行卵母细胞抽吸术。
输血、膀胱镜检查以及假性动脉瘤切除和烧灼。
血尿和血流动力学稳定的控制。
取卵后出现大量血尿。给予输血。行膀胱镜检查，见出血性假性动脉瘤。行切除术和烧灼术。
取卵后假性动脉瘤尚未见报道。它导致大量血尿引起血流动力学不稳定。所有取卵后持续血尿的患者均应立即进行复苏和膀胱镜检查。取卵时应始终注意周围结构的损伤。
