Massive Vaginal Hematoma - A Complication of In Vitro Fertilization
Autor: | Marta Wais, Crystal Chan |
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Rok vydání: | 2017 |
Předmět: |
Adult
medicine.medical_specialty Abdominal pain medicine.medical_treatment Vaginal Diseases Oocyte Retrieval 03 medical and health sciences 0302 clinical medicine Acute care medicine Retroperitoneal space Humans 030212 general & internal medicine Vaginal Hemorrhage Hematoma 030219 obstetrics & reproductive medicine In vitro fertilisation Transvaginal oocyte retrieval business.industry Obstetrics and Gynecology Emergency department Surgery medicine.anatomical_structure Female medicine.symptom business Complication |
Zdroj: | Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC. 40(1) |
ISSN: | 1701-2163 |
Popis: | Background The rates of serious complications from IVF with transvaginal oocyte retrieval are low. However, as the usage of IVF continues to increase, more complications are presenting to acute care and physicians should be aware of management issues. Case A 36-year-old, gravida 4, para 1 woman presented to the emergency department with significant vaginal hemorrhage and severe abdominal pain after undergoing a routine transvaginal oocyte retrieval. She was taken to the operating room and found to have extensive lacerations of the posterior vaginal mucosa and a large vaginal hematoma tracking to the retroperitoneal space. Conclusion This case represents a previously unreported but possible complication of oocyte retrieval. Although oocyte retrieval complications are not frequently reported, significant vaginal and pelvic vascular injury and hemorrhage can occur. Physicians should be cognizant of trauma that can occur secondary to vaginal instruments and not just intraperitoneal injuries. |
Databáze: | OpenAIRE |
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