Bladder hematoma: a complication from an oocyte retrieval procedure.

Autor:	Souza MDCB; Fertipraxis-Centro de Reprodução Humana- RJ, Brazil., Souza MM; Fertipraxis-Centro de Reprodução Humana- RJ, Brazil., Antunes RA; Fertipraxis-Centro de Reprodução Humana- RJ, Brazil., Tamm MA; Fertipraxis-Centro de Reprodução Humana- RJ, Brazil., Silva JBD; Fertipraxis-Centro de Reprodução Humana- RJ, Brazil., Mancebo ACA; Fertipraxis-Centro de Reprodução Humana- RJ, Brazil.
Jazyk:	angličtina
Zdroj:	JBRA assisted reproduction [JBRA Assist Reprod] 2019 Jan 31; Vol. 23 (1), pp. 75-78. Date of Electronic Publication: 2019 Jan 31.
DOI:	10.5935/1518-0557.20180086
Abstrakt:	Introduction: More than one million fertilization cycles are performed every year. The incidence of serious complications associated with transvaginal oocyte pick-up is low, but the procedure is not risk-free. Risks are inherent to procedures in which thin needles and sharp instruments are introduced into the vaginal wall and ovarian capsule to access the ovaries. Case Description: A 45-year-old patient reported urinary discomfort and difficulty urinating after her second cycle, 12 hours after oocyte pick-up. She had visible hematuria with small blood clots. Transvaginal ultrasound examination performed 24 hours after pick-up showed a heterogeneous intravesical image suggestive of a clot; her bladder measured 23x19mm. She was afebrile and in good condition. The patient was managed conservatively and offered fluids. The clot was expelled within a matter of hours. This case of a bladder hematoma was the first in the 21 years of a clinic where all procedures are guided by ultrasonography with clear visualization of the tip of the needle throughout the 15-20 minutes of the procedure. Patients submitted to ultrasound-guided transvaginal oocyte pick-up procedures in IVF protocols must be informed of this rare potential complication.
Databáze:	MEDLINE
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