Almuhanna Afnan F, Alkhalifa Maryam A, Altaweel Fatimah Y, Altaweel Kawther S, Al Qunais Roaya A, Alsawad Kawthar M
Radiology, King Fahad University Hospital, Khobar, SAU.
Radiology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Cureus. 2021 Dec 30;13(12):e20825. doi: 10.7759/cureus.20825. eCollection 2021 Dec.
A uterine/ovarian artery pseudoaneurysm is a rare complication of pelvic surgical interventions such as oocyte retrieval. This complication can be life-threatening due to the risk of rupture and blood extravasation. We report the case of a 30-year-old, nulliparous, married woman with a rare uterine/ovarian artery pseudoaneurysm due to in vitro fertilization. The patient has a history of sickle cell disease and primary infertility with multiple failed ovulation induction. She presented to the emergency department (ED) with hypotension following ovum retrieval for in vitro fertilization. Upon examination, we noted that the patient had tense ascites. A focused assessment with sonography in trauma (FAST) in the ED revealed internal bleeding. The diagnosis of a uterine artery pseudoaneurysm was established. She underwent an exploratory laparotomy to control bleeding due to her instability. Computed tomography and FAST scans help make an accurate diagnosis, and this case highlights that early intervention by embolization is essential to stabilize the patient and improve patient outcomes.
子宫/卵巢动脉假性动脉瘤是诸如取卵等盆腔外科手术干预的罕见并发症。由于破裂和血液外渗的风险，这种并发症可能危及生命。我们报告一例30岁未生育的已婚女性病例，该患者因体外受精导致罕见的子宫/卵巢动脉假性动脉瘤。患者有镰状细胞病病史及原发性不孕症，多次诱导排卵失败。她在体外受精取卵后因低血压就诊于急诊科。检查时，我们注意到患者有紧张性腹水。急诊科的创伤重点超声评估（FAST）显示有内出血。确诊为子宫动脉假性动脉瘤。由于病情不稳定，她接受了剖腹探查术以控制出血。计算机断层扫描和FAST扫描有助于做出准确诊断，该病例强调通过栓塞进行早期干预对于稳定患者病情和改善患者预后至关重要。
