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经阴道取卵术并发危及生命的闭孔动脉出血,采用保留血管技术处理。

Transvaginal oocyte retrieval complicated by life-threatening obturator artery haemorrhage and managed by a vessel-preserving technique.

作者信息

Bolster Ferdia, Mocanu Edgar, Geoghegan Tony, Lawler Leo

机构信息

Department of Radiology, Mater Misericordiae University Hospital Dublin, Ireland.

Department of Obstetrics and Gynaecology, Royal College of Surgeons in Ireland Dublin, Ireland.

出版信息

Ulster Med J. 2014 Sep;83(3):146-8.

Abstract

We report the case of a 36-year-old woman with secondary infertility who underwent routine transvaginal oocyte retrieval as part of IVF treatment. Four days following the procedure she presented with life threatening haemorrhagic shock. She underwent surgical laparotomy followed by CT and selective angiography, which demonstrated haemorrhage from a pseudoaneurysm of the obturator artery. The haemorrhage was successfully managed endovascularly with a vessel preserving covered stent.

摘要

我们报告了一例36岁继发性不孕的女性病例,该患者在体外受精治疗过程中接受了常规经阴道取卵术。术后四天,她出现了危及生命的出血性休克。她接受了外科剖腹手术,随后进行了CT和选择性血管造影,结果显示闭孔动脉假性动脉瘤出血。通过使用保留血管的覆膜支架进行血管内治疗,成功控制了出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d657/4255834/68b61d6a1404/umj0083-0146-f1.jpg

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