Retroperitoneal Hemorrhage following Ultrasoundguided Transvaginal Oocyte Retrieval: A Case Report

Document Type

Journal Article

Publication Date

2020

Journal

Journal of Clinical Research in Anesthesiology

Volume

33

Issue

1

Keywords

Ambulatory surgery; hemorrhagic shock; in vitro fertilization; retroperitoneal hematoma

Abstract

Ultrasound-guided transvaginal retrieval of oocytes is a common and uncomplicated procedure done in ambulatory care centers as part of in vitro fertilization. However, it has a potential for serious, life-threatening complications. In our case report, we detail the case of a 39-year-old G1P0 undergoing ultrasound-guided transvaginal oocyte retrieval in an ambulatory care center who developed hypotension mid-procedure. As she was persistently hemodynamically unstable, she was transferred to the emergency department for further evaluation and ultimately had an exploratory laparotomy which revealed a large retroperitoneal hematoma. She required surgical control of hemostasis as well as a blood transfusion and was eventually discharged from hospital after a short convalescence.

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