Hemoperitoneum presenting with the use of a topical hemostatic agent in oocyte retrieval: A case report

被引：2

作者：

Amélie Chatrian

Clémentine Vidal

Véronique Equy

Pascale Hoffmann

Fabrice Sergent

机构：

[1] Service de Gynécologie-Obstétrique, CHU de Grenoble

来源：

Journal of Medical Case Reports | / 6卷 / 1期

关键词：

hemoperitoneum; Oocyte retrieval; TachoSil[!sup]®[!/sup;

D O I：

10.1186/1752-1947-6-395

中图分类号：

学科分类号：

摘要：

Introduction. Hemoperitoneum may occur from an ovarian puncture point after oocyte retrieval. Case presentation. We report a case of massive hemoperitoneum following transvaginal ultrasound-guided oocyte retrieval in a 33-year-old Caucasian woman. The bleeding required emergency laparoscopy because of active bleeding from the ovarian puncture point. Hemostasis was very difficult to achieve, and traditional operative procedures were not efficient. The only way to stop the bleeding was by using an absorbable fibrinogen and thrombin sealant sponge, which was applied around the ovary. During laparoscopy three pints of packed red blood were administered. No specific alteration of screening coagulation tests was found one month later. Conclusions: Hemostasis can be very difficult to achieve with traditional operative procedures. Topical hemostatic agents can be useful to preserve the ovary wherever possible. © 2012 CHATRIAN et al.; licensee BioMed Central Ltd.

引用

共 9 条

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