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Published on: June 27, 2025
Acute portal vein thrombosis complicating in vitro fertilization
Natu Mmbaga1, Saioa Torrealday, Shirley McCarthy
1Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut, USA.
Objective:
To describe a case of acute portal vein thrombosis after IVF treatment.
Design:
Case report.
Setting:
University teaching hospital.
Patient(S):
A 39-year-old woman experienced worsening, right upper quadrant pain several days after oocyte retrieval; ET was withheld. Imaging studies revealed acute portal vein thrombosis with extension into the splenic and superior mesenteric veins.
Intervention(S):
Therapeutic anticoagulation; no ET was performed.
Main Outcome Measure(S):
Improvement in symptoms, accurate diagnosis of condition.
Result(S):
Decreased size of portal vein thrombosis and partial vessel recanalization.
Conclusion(S):
Thromboembolic events are a rare complication of assisted reproductive technology (ART). In women who present with upper abdominal pain during ART, portal vein thrombosis should be considered in the differential diagnosis.
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