Hematuria and clot retention after transvaginal oocyte aspiration: a case report

To report a case of bladder injury with hematuria and urinary retention after transvaginal oocyte aspiration. Case report. Emergency room in a university medical center. A 28-year-old woman presented with urinary retention and suprapubic pain 8 hours after oocyte aspiration. Foley catheter, intraven...

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Bibliographic Details
Published in:Fertility and sterility 2006-09, Vol.86 (3), p.720.e1-720.e2
Main Authors: Modder, Joshua, Kettel, L. Michael, Sakamoto, Kyoko
Format: Article
Language:English
Subjects:
Adult
adverse effects
assisted reproductive technology
Bladder injuries
Blood Coagulation Disorders - etiology
hematuria
Hematuria - etiology
Humans
in vitro fertilization
Oocyte Donation - adverse effects
Oocytes
Pelvic Pain - etiology
Suction - adverse effects
Urinary Bladder - injuries
Urinary Retention - etiology
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Summary:To report a case of bladder injury with hematuria and urinary retention after transvaginal oocyte aspiration. Case report. Emergency room in a university medical center. A 28-year-old woman presented with urinary retention and suprapubic pain 8 hours after oocyte aspiration. Foley catheter, intravenous fluid bolus, bladder irrigation, and computed tomography with postvoid films that showed a blood clot in the bladder. Patient was discharged home with antibiotics and catheter in place. Clinical follow-up. Patient passed voiding trial 4 days later and was artificially inseminated. No further hematuria or voiding problems were reported, and she had a successful pregnancy. Patients who elect to undergo oocyte aspiration should be warned about the possibility of bladder injury because of the close proximity of the ovaries to the bladder, and physicians should have an appropriate treatment plan.
ISSN:0015-0282
1556-5653
DOI:10.1016/j.fertnstert.2005.11.080