Use of an Ellik evacuator to remove tenacious bladder clots resulting from transvaginal oocyte retrieval: 2 cases and a literature review

被引:6
作者
Su, Yu-Ting [1 ]
Huang, Kuan-Hui [1 ]
Chuang, Fei-Chi [1 ]
Lan, Kuo-Chung [1 ]
机构
[1] Chang Gung Univ, Kaohsiung Chang Gung Mem Hosp, Dept Obstet & Gynecol, Coll Med, 123 Dapi Rd, Kaohsiung 83301, Taiwan
来源
TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY | 2019年 / 58卷 / 06期
关键词
Transvaginal oocyte retrieval (TVOR); Bladder injury; Hematuria; Tenacious clot; Ellik; CLINICAL COMPLICATIONS; INVITRO FERTILIZATION; ASPIRATION;
D O I
10.1016/j.tjog.2019.05.033
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: Transvaginal oocyte retrieval has become the common method for infertility couples undergoing artificial reproductive technology. Although it was considered to be safe, rare complications including urinary bladder injury were reported. Case report: We described two cases of bladder injury with refractory blood clots after oocyte retrieval, for whom conservative treatment failed. Diagnostic cystoscopy was performed and an Ellik evacuator was used for clot dissolution successfully. Conclusion: Urinary bladder injury with clots retention is a rare complication following ovary puncture. When tenacious clots become organized, the removal with traditional bladder irrigation may be difficult. We introduce Ellik evacuator as an effective and reliable procedure for evacuating tenacious clots in the urinary bladder. (C) 2019 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.
引用
收藏
页码:880 / 884
页数:5
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