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Massive hematuria with hemodynamic instability—complication of oocyte retrieval
Oleh:
Jayakrishnan, Krishnapillai
;
Raman, Vikraman Kaithavelil
;
Vijayalakshmi, Vinod Kochunarayanapillai
;
Baheti, Sumeet
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 96 no. 01 (Jul. 2011)
,
page e22-e24.
Topik:
Oocyte retrieval
;
bladder injury
;
hematuria
;
pseudoaneurysm
Ketersediaan
Perpustakaan FK
Nomor Panggil:
F02.K.2011.04
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Objective To report a case of pseudoaneurysm causing massive hematuria with hemodynamic instability occurring after oocyte retrieval. Design Case report. Setting 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.
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