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

Fertility and Sterility
Gurkan BozdagHakan Yarali

Abstract

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. Case report. Tertiary center for assisted reproductive technologies (ART). A 22-year-old woman with a duration of 6 years of primary infertility. The evaluation of the pseudoaneurysm with ultrasonography and angiography. The management of pregnancy complicated with pseudoaneurysm and viable treatment modalities. Healthy baby and treatment of pseudoaneurysm. 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. 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.

References

Jan 1, 1993·Journal of Assisted Reproduction and Genetics·S J BennettJ Parsons
Jul 17, 2003·The Journal of Emergency Medicine·David A Wald
Jun 15, 2004·The American Journal of Cardiology·Peter Hubert GreweThomas Deneke
Sep 30, 2006·Human Fertility : Journal of the British Fertility Society·Catherine Pappin, Graham Plant
Mar 31, 2007·BMC Surgery·Umar SadatMichael Gaunt

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