An oocyte pick-up procedure complicated with pseudoaneurysm of the internal iliac artery
Received 10 October 2007; received in revised form 5 February 2008; accepted 5 February 2008. published online 18 April 2008.
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.
aDepartment of Obstetrics and Gynecology, Hacettepe University, School of Medicine, Ankara, Turkey
bDepartment of Radiology, Hacettepe University, School of Medicine, Ankara, Turkey
Reprint requests: Gurkan Bozdag, M.D., Hacettepe Üniversitesi, Tip fakültesi Kadin Hastaliklari ve Doğum Anabilim dali, 06100 Sihhiye, Ankara, Turkey (FAX: 90-312- 3052315).
G.B. has nothing to disclose. A.B. has nothing to disclose. B.C. has nothing to disclose. İ.E. has nothing to disclose. H.Y. has nothing to disclose.
ABSTRACT