An oocyte pick-up procedure complicated with pseudoaneurysm of the internal iliac artery

Objective

To describe a patient with a pseudoaneurysm of the internal iliac artery after oocyte retrieval, during an intracytoplasmic sperm injection (ICSI) and embryo transfer cycle.

Design

Case report.

Setting

Tertiary center for assisted reproductive technologies (ART).

Patient(s)

A 22-year-old woman with a duration of 6 years of primary infertility.

Intervention(s)

The evaluation of the pseudoaneurysm with ultrasonography and angiography. The management of pregnancy complicated with pseudoaneurysm and viable treatment modalities.

Main Outcome Measure(s)

Healthy baby and treatment of pseudoaneurysm.

Results(s)

A healthy female infant with a birth weight of 1,470 g was born by cesarean section at 32 weeks of gestation. The pseudoaneurysm of the left inferior pudental artery was completely embolized with 1 mL (50%) of N-butyl-2-cyanoacrylate.

Conclusion(s)

The pseudoaneurysm of the iliac vessels is an extremely rare complication of the oocyte retrieval procedure. With a multidisciplinary approach, optimal management should depend on the diameter and localization of the pseudoaneurysm, week of gestation, hemodynamic status of the mother and infant, and the available technologies.

Key Words: Pseudoaneurysm, oocyte retrieval, vascular injury, intracytoplasmic sperm injection, assisted reproductive technologies