Retroperitoneal Hemorrhage following Ultrasoundguided Transvaginal Oocyte Retrieval: A Case Report
Journal of Clinical Research in Anesthesiology
Ambulatory surgery; hemorrhagic shock; in vitro fertilization; retroperitoneal hematoma
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.
Pla, R., Parr, K. G., Bumbarger, K., Heinz, E., Ho, G., Lalwani, S., & Frankfurter, D. (2020). Retroperitoneal Hemorrhage following Ultrasoundguided Transvaginal Oocyte Retrieval: A Case Report. Journal of Clinical Research in Anesthesiology, 33 (1). Retrieved from https://hsrc.himmelfarb.gwu.edu/smhs_anesth_facpubs/491