Acute portal vein thrombosis complicating in vitro fertilization.
Fertil Steril 2012;
98:1470-3. [PMID:
22963807 DOI:
10.1016/j.fertnstert.2012.08.010]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2012] [Revised: 06/18/2012] [Accepted: 08/06/2012] [Indexed: 11/25/2022]
Abstract
OBJECTIVE
To describe a case of acute portal vein thrombosis after IVF treatment.
DESIGN
Case report.
SETTING
University teaching hospital.
PATIENT(S)
A 39-year-old woman experienced worsening, right upper quadrant pain several days after oocyte retrieval; ET was withheld. Imaging studies revealed acute portal vein thrombosis with extension into the splenic and superior mesenteric veins.
INTERVENTION(S)
Therapeutic anticoagulation; no ET was performed.
MAIN OUTCOME MEASURE(S)
Improvement in symptoms, accurate diagnosis of condition.
RESULT(S)
Decreased size of portal vein thrombosis and partial vessel recanalization.
CONCLUSION(S)
Thromboembolic events are a rare complication of assisted reproductive technology (ART). In women who present with upper abdominal pain during ART, portal vein thrombosis should be considered in the differential diagnosis.
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