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


METHODS
Case report.


METHODS
Tertiary center for assisted reproductive technologies (ART).


METHODS
A 22-year-old woman with a duration of 6 years of primary infertility.


METHODS
The evaluation of the pseudoaneurysm with ultrasonography and angiography. The management of pregnancy complicated with pseudoaneurysm and viable treatment modalities.


METHODS
Healthy baby and treatment of pseudoaneurysm.


RESULTS
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.


CONCLUSIONS
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.
Bozdag
Gurkan
G
Department of Obstetrics and Gynecology, Hacettepe University, School of Medicine, Ankara, Turkey. gbozdag@hacettepe.edu.tr
Basaran
Ahmet
A
Cil
Barbaros
B
Esinler
Ibrahim
I
Yarali
Hakan
H
D017541:Aneurysm, False / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D002585:Cesarean Section; D004621:Embolization, Therapeutic; D004624:Embryo Transfer; D005260:Female; D005865:Gestational Age; D006801:Humans; D017543:Iliac Aneurysm / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D007231:Infant, Newborn; D007247:Infertility, Female / Q000628:therapy*; D050498:Live Birth; D018810:Magnetic Resonance Angiography; D054315:Oocyte Retrieval / Q000009:adverse effects*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D020554:Sperm Injections, Intracytoplasmic; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D055815:Young Adult