Ureteral Trauma during Transvaginal Ultrasound-Guided Oocyte Retrieval: A Case Report

Tatiana Catanzarite*, Lia A. Bernardi, Edmond Confino, Kimberly Kenton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background Transvaginal ultrasound-guided oocyte retrieval is a safe and well-tolerated procedure. Complications are uncommon and usually limited to vaginal bleeding and pelvic infection. Ureteral injury following oocyte retrieval is exceedingly rare, with only 8 previously reported cases. Case A 34-year-old woman developed gross hematuria 4 hours after transvaginal ultrasound-guided oocyte aspiration. Cystoscopy, laparoscopy, and retrograde pyelography revealed bleeding from the left ureter, no intra-abdominal bleeding, and a patent left urinary collecting system. The ureteral bleeding was successfully managed with placement of a ureteral stent. Conclusion Ureteral trauma during transvaginal-guided oocyte retrieval is a rare complication with a variable clinical presentation. If ureteral injuries are not promptly recognized, significant morbidity may occur. This case demonstrates that early identification of injury and timely intervention result in favorable outcomes.

Original languageEnglish (US)
Pages (from-to)e44-e45
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume21
Issue number5
DOIs
StatePublished - Sep 9 2015

Keywords

  • assisted reproductive technology
  • procedure complications
  • transvaginal ultrasound-guided oocyte retrieval
  • ureteral injury
  • ureteral stent placement

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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