• Medicina · Oct 2022

    Review Case Reports

    Successful Interventional Management of Life-Threatening Bleeding after Oocyte Retrieval: A Case Report and Review of the Literature.

    • Hiroyuki Tokue, Azusa Tokue, and Yoshito Tsushima.
    • Department of Diagnostic and Interventional Radiology, Gunma University Hospital, 3-39-22 Showa-Machi, Maebashi 371-8511, Gunma, Japan.
    • Medicina (Kaunas). 2022 Oct 27; 58 (11).

    AbstractLife-threatening bleeding after oocyte retrieval is unusual. We report a case of massive vaginal bleeding requiring transcatheter arterial embolization (TAE) after transvaginal US-directed follicle aspiration for oocyte retrieval and provide a brief review of cases in which the pseudoaneurysm of the injured artery was managed with a TAE approach. A 40-year-old woman presented massive vaginal bleeding after transvaginal ultrasonography-directed follicle aspiration for oocyte retrieval. Contrast-enhanced computed tomography revealed active bleeding from the uterine ostium. Transcatheter arterial embolization was performed for a pseudoaneurysm of the right pudendal artery to manage the hemorrhage. Potentially life-threatening bleeding should be recognized as a rare complication after oocyte retrieval to promptly establish the diagnosis and preserve the uterus.

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