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/...

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Published inCurēus (Palo Alto, CA) Vol. 13; no. 12; p. e20825
Main Authors Almuhanna, Afnan F, Alkhalifa, Maryam A, Altaweel, Fatimah Y, Altaweel, Kawther S, Al Qunais, Roaya A, Alsawad, Kawthar M
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 30.12.2021
Cureus
Subjects
Abdomen
Aneurysms
Blood pressure
Blood tests
Blood transfusions
Cardiac/Thoracic/Vascular Surgery
Case reports
Embolization
Hemoglobin
Hemorrhage
In vitro fertilization
Infertility
Laboratories
Laparotomy
Obstetrics/Gynecology
Ovaries
Patients
Pseudoaneurysm
Radiology
Trauma
Ultrasonic imaging
Urogenital system
Vagina
Veins & arteries
aneurysm
traumatic
case report
embolization
pseudoaneurysm
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Summary: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.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.20825