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Traumatic Ovarian Artery Pseudoaneurysm Post-ovum Pickup: A Rare Complication
A uterine/ovarian artery pseudoaneurysm is a rare complication of pelvic surgical interventions such as oocyte retrieval. This complication can be life-threatening due to the risk of rupture and blood extravasation. We report the case of a 30-year-old, nulliparous, married woman with a rare uterine/...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717823/ https://www.ncbi.nlm.nih.gov/pubmed/34987947 http://dx.doi.org/10.7759/cureus.20825 |
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author | Almuhanna, Afnan F Alkhalifa, Maryam A Altaweel, Fatimah Y Altaweel, Kawther S Al Qunais, Roaya A Alsawad, Kawthar M |
author_facet | Almuhanna, Afnan F Alkhalifa, Maryam A Altaweel, Fatimah Y Altaweel, Kawther S Al Qunais, Roaya A Alsawad, Kawthar M |
author_sort | Almuhanna, Afnan F |
collection | PubMed |
description | A uterine/ovarian artery pseudoaneurysm is a rare complication of pelvic surgical interventions such as oocyte retrieval. This complication can be life-threatening due to the risk of rupture and blood extravasation. We report the case of a 30-year-old, nulliparous, married woman with a rare uterine/ovarian artery pseudoaneurysm due to in vitro fertilization. The patient has a history of sickle cell disease and primary infertility with multiple failed ovulation induction. She presented to the emergency department (ED) with hypotension following ovum retrieval for in vitro fertilization. Upon examination, we noted that the patient had tense ascites. A focused assessment with sonography in trauma (FAST) in the ED revealed internal bleeding. The diagnosis of a uterine artery pseudoaneurysm was established. She underwent an exploratory laparotomy to control bleeding due to her instability. Computed tomography and FAST scans help make an accurate diagnosis, and this case highlights that early intervention by embolization is essential to stabilize the patient and improve patient outcomes. |
format | Online Article Text |
id | pubmed-8717823 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-87178232022-01-04 Traumatic Ovarian Artery Pseudoaneurysm Post-ovum Pickup: A Rare Complication Almuhanna, Afnan F Alkhalifa, Maryam A Altaweel, Fatimah Y Altaweel, Kawther S Al Qunais, Roaya A Alsawad, Kawthar M Cureus Cardiac/Thoracic/Vascular Surgery A uterine/ovarian artery pseudoaneurysm is a rare complication of pelvic surgical interventions such as oocyte retrieval. This complication can be life-threatening due to the risk of rupture and blood extravasation. We report the case of a 30-year-old, nulliparous, married woman with a rare uterine/ovarian artery pseudoaneurysm due to in vitro fertilization. The patient has a history of sickle cell disease and primary infertility with multiple failed ovulation induction. She presented to the emergency department (ED) with hypotension following ovum retrieval for in vitro fertilization. Upon examination, we noted that the patient had tense ascites. A focused assessment with sonography in trauma (FAST) in the ED revealed internal bleeding. The diagnosis of a uterine artery pseudoaneurysm was established. She underwent an exploratory laparotomy to control bleeding due to her instability. Computed tomography and FAST scans help make an accurate diagnosis, and this case highlights that early intervention by embolization is essential to stabilize the patient and improve patient outcomes. Cureus 2021-12-30 /pmc/articles/PMC8717823/ /pubmed/34987947 http://dx.doi.org/10.7759/cureus.20825 Text en Copyright © 2021, Almuhanna et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Almuhanna, Afnan F Alkhalifa, Maryam A Altaweel, Fatimah Y Altaweel, Kawther S Al Qunais, Roaya A Alsawad, Kawthar M Traumatic Ovarian Artery Pseudoaneurysm Post-ovum Pickup: A Rare Complication |
title | Traumatic Ovarian Artery Pseudoaneurysm Post-ovum Pickup: A Rare Complication |
title_full | Traumatic Ovarian Artery Pseudoaneurysm Post-ovum Pickup: A Rare Complication |
title_fullStr | Traumatic Ovarian Artery Pseudoaneurysm Post-ovum Pickup: A Rare Complication |
title_full_unstemmed | Traumatic Ovarian Artery Pseudoaneurysm Post-ovum Pickup: A Rare Complication |
title_short | Traumatic Ovarian Artery Pseudoaneurysm Post-ovum Pickup: A Rare Complication |
title_sort | traumatic ovarian artery pseudoaneurysm post-ovum pickup: a rare complication |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717823/ https://www.ncbi.nlm.nih.gov/pubmed/34987947 http://dx.doi.org/10.7759/cureus.20825 |
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