Catanzarite Tatiana, Bernardi Lia A, Confino Edmond, Kenton Kimberly
From the *Department of OB/GYN and Divisions of †Reproductive Endocrinology and Infertility ‡Female Pelvic Medicine and Reconstructive Surgery, Department of OB/GYN, Northwestern University Feinberg School of Medicine, Chicago, IL.
Female Pelvic Med Reconstr Surg. 2015 Sep-Oct;21(5):e44-5. doi: 10.1097/SPV.0000000000000176.
Transvaginal ultrasound-guided oocyte retrieval is a safe and well-tolerated procedure. Complications are uncommon and usually limited to vaginal bleeding and pelvic infection. Ureteral injury following oocyte retrieval is exceedingly rare, with only 8 previously reported cases.
A 34-year-old woman developed gross hematuria 4 hours after transvaginal ultrasound-guided oocyte aspiration. Cystoscopy, laparoscopy, and retrograde pyelography revealed bleeding from the left ureter, no intra-abdominal bleeding, and a patent left urinary collecting system. The ureteral bleeding was successfully managed with placement of a ureteral stent.
Ureteral trauma during transvaginal-guided oocyte retrieval is a rare complication with a variable clinical presentation. If ureteral injuries are not promptly recognized, significant morbidity may occur. This case demonstrates that early identification of injury and timely intervention result in favorable outcomes.
经阴道超声引导下取卵术是一种安全且耐受性良好的手术。并发症并不常见，通常仅限于阴道出血和盆腔感染。取卵术后输尿管损伤极为罕见，此前仅有8例报道。
一名34岁女性在经阴道超声引导下取卵4小时后出现肉眼血尿。膀胱镜检查、腹腔镜检查和逆行肾盂造影显示左输尿管出血，无腹腔内出血，左尿路收集系统通畅。通过放置输尿管支架成功处理了输尿管出血。
经阴道引导下取卵术中输尿管创伤是一种罕见的并发症，临床表现多样。如果输尿管损伤未得到及时识别，可能会发生严重的并发症。本病例表明，早期识别损伤并及时干预可取得良好的结果。
