title: Massive hematuria with hemodynamic instability--complication of oocyte retrieval.
abstract: OBJECTIVE
  To report a case of pseudoaneurysm causing massive hematuria with hemodynamic instability occurring after oocyte retrieval.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary care infertility clinic.
  
  
  METHODS
  A 34-year-old woman with endometriosis undergoing oocyte aspiration for IVF.
  
  
  METHODS
  Blood transfusion, cystoscopy, and resection and cauterization of pseudoaneurysm.
  
  
  METHODS
  Control of hematuria and hemodynamic stability.
  
  
  RESULTS
  Massive hematuria occurred after oocyte retrieval. Blood transfusion was given. Cystoscopy was done, and a bleeding pseudoaneurysm was seen. It was resected and cauterized.
  
  
  CONCLUSIONS
  Pseudoaneurysm after oocyte retrieval has not been reported before. It resulted in massive hematuria causing hemodynamic instability. Immediate resuscitation and cystoscopy should be performed on all patients who present with persistent hematuria after oocyte retrieval. Injury to surrounding structures should always be kept in mind during oocyte retrieval.
authors: K.J.K. Hospital Fertility Research and Gynaecology Centre, Kerala, India. kjkhospital@gmail.com
authors: Krishnapillai
authors: K
authors: Jayakrishnan
authors: Vikraman Kaithavelil
authors: VK
authors: Raman
authors: Vinod Kochunarayanapillai
authors: VK
authors: Vijayalakshmi
authors: Sumeet
authors: S
authors: Baheti
authors: Divya
authors: D
authors: Nambiar