Ureteric injury during transvaginal ultrasound guided oocyte retrieval.
作者信息
Vilos Angelos G, Feyles Valter, Vilos George A, Oraif Ayman, Abdul-Jabbar Hanin, Power Nicholas
机构信息
Department of Obstetrics and Gynecology, Western University, London ON; The Fertility Clinic, London Health Sciences Centre, London ON.
Department of Obstetrics and Gynecology, Western University, London ON; The Fertility Clinic, London Health Sciences Centre, London ON; St. Joseph's Health Centre, London ON.
出版信息
J Obstet Gynaecol Can. 2015 Jan;37(1):52-55. doi: 10.1016/S1701-2163(15)30363-7.
BACKGROUND
Transvaginal ultrasound guided oocyte retrieval during in vitro fertilization is performed routinely around the world and has reduced the occurrence of intra-abdominal injury considerably over laparoscopic procedures. Despite this, injuries do occur.
CASE
We report a case of a 37-year-old patient who underwent IVF and encountered a ureteric injury during oocyte retrieval, which was recognized early and treated with ureteral stents with full resolution. During a subsequent IVF cycle, stenting of the ureters allowed better visualization, resulting in an uneventful retrieval and subsequent pregnancy.
CONCLUSION
Ureteric injury can occur during transvaginal ultrasound guided egg retrieval. Prompt recognition is vital to successful treatment. Stenting of the ureters is the most common therapeutic modality and can be used in subsequent retrievals to identify the ureters.
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