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Acute retroperitoneal hemorrhage after oocyte retrieval: a case report
Yangying Xu1, Cuifang Hao1, Xiaoqiang Liu1
1Reproductive Medicine Center of Women and Children's Hospital affiliated to Qingdao University, Qingdao 266000, Shangdong, China.
Journal of Surgical Case Reports
|March 22, 2021
Summary
A patient undergoing in vitro fertilization experienced retroperitoneal hematoma and hemorrhagic shock. Prompt treatment led to recovery, and the patient was later diagnosed with Von Willebrand disease.
Area of Science:
- Reproductive Medicine
- Hematology
Background:
- A 29-year-old woman presented with primary infertility, undergoing in vitro fertilization-embryo transfer (IVF-ET).
- The procedure carries inherent risks, including potential complications during oocyte retrieval.
Observation:
- The patient developed a retroperitoneal hematoma following oocyte retrieval, leading to hemorrhagic shock.
- Diagnostic laparoscopy and angiography were employed for prompt evaluation and management.
Findings:
- The retroperitoneal hematoma and associated hemorrhagic shock were successfully treated.
- The patient recovered fully and was discharged within 7 days.
- Subsequent hematological evaluation revealed an underlying diagnosis of Von Willebrand disease.
Implications:
- This case highlights the importance of vigilant monitoring for rare but serious complications after IVF-ET.
- Early diagnosis and intervention are crucial for managing retroperitoneal hematomas.
- Identifying underlying bleeding disorders like Von Willebrand disease is essential for patient safety in assisted reproductive technologies.
