Rectus sheath hematoma after transvaginal follicle aspiration: a rare complication of in vitro fertilization.
OBJECTIVE
To discuss the diagnosis and management of rectus sheath hematomas after transvaginal follicle aspiration.


METHODS
Case report.


METHODS
A single healthy patient in an academic IVF center.


METHODS
A healthy patient undergoing routine transvaginal follicle aspiration for IVF.


METHODS
CT scan, serial phlebotomy, IV fluid, in-patient observation.


METHODS
Condition at discharge.


RESULTS
Patient was successfully managed with conservative measures. After the initial decline, serial hematocrits were stable over 24 hours without any operative interventions.


CONCLUSIONS
Rectus sheath hematomas are rare complications of IVF and can be managed conservatively.
Wang
Jeff G
JG
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, College of Physicians and Surgeons, Columbia University, New York, New York 10023, USA. jw781@columbia.edu
Huchko
Megan J
MJ
Kavic
Suzanne
S
Sauer
Mark V
MV
D000328:Adult; D004624:Embryo Transfer / Q000009:adverse effects; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects* / Q000379:methods; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D006080:Ovarian Follicle / Q000637:transplantation*; D017568:Rectus Abdominis / Q000473:pathology*; D014621:Vagina