title: Transvaginal oocyte retrieval complicated by life-threatening obturator artery haemorrhage and managed by a vessel-preserving technique.
abstract: We report the case of a 36-year-old woman with secondary infertility who underwent routine transvaginal oocyte retrieval as part of IVF treatment. Four days following the procedure she presented with life threatening haemorrhagic shock. She underwent surgical laparotomy followed by CT and selective angiography, which demonstrated haemorrhage from a pseudoaneurysm of the obturator artery. The haemorrhage was successfully managed endovascularly with a vessel preserving covered stent.
authors.affiliation: Department of Radiology, Mater Misericordiae University Hospital Dublin, Ireland.
authors.forename: Ferdia
authors.initials: F
authors.lastname: Bolster
authors.affiliation: Department of Obstetrics and Gynaecology, Royal College of Surgeons in Ireland Dublin, Ireland.
authors.forename: Edgar
authors.initials: E
authors.lastname: Mocanu
authors.affiliation: Department of Radiology, Mater Misericordiae University Hospital Dublin, Ireland.
authors.forename: Tony
authors.initials: T
authors.lastname: Geoghegan
authors.affiliation: Department of Radiology, Mater Misericordiae University Hospital Dublin, Ireland.
authors.forename: Leo
authors.initials: L
authors.lastname: Lawler
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D000792:Angiography; D001803:Blood Transfusion; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D054315:Oocyte Retrieval / Q000009:adverse effects*; D012771:Shock, Hemorrhagic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed