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

Abstract

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.

• Authors: Gurkan Bozdag, Ahmet Basaran, Barbaros Cil, Ibrahim Esinler, Hakan Yarali
• Journal: Fertility and sterility (Fertil Steril) Vol. 90 Issue 5 Pg. 2004.e11-3 (Nov 2008) ISSN: 1556-5653 [Electronic] United States
• PMID: 18423457 (Publication Type: Case Reports, Journal Article)

Topics

• Aneurysm, False (etiology, pathology, therapy)
• Cesarean Section
• Embolization, Therapeutic
• Embryo Transfer
• Female
• Gestational Age
• Humans
• Iliac Aneurysm (etiology, pathology, therapy)
• Infant, Newborn
• Infertility, Female (therapy)
• Live Birth
• Magnetic Resonance Angiography
• Oocyte Retrieval (adverse effects)
• Pregnancy
• Pregnancy Complications, Cardiovascular (etiology, pathology, therapy)
• Sperm Injections, Intracytoplasmic
• Treatment Outcome
• Ultrasonography, Doppler
• Young Adult