Ureteral Injury with Delayed Massive Hematuria after Transvaginal Ultrasound-Guided Oocyte Retrieval

We report a case of ureteral injury with delayed hematuria after transvaginal oocyte retrieval. A 28-year-old infertile patient with a history of previous laparoscopic resection of endometriotic nodes of both sacrouterine ligaments presented with abdominal pain one day after oocyte retrieval. Four d...

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Main Authors: Tanja Burnik Papler, Eda Vrtačnik Bokal, Vesna Šalamun, Dejan Galič, Tomaž Smrkolj, Nina Jančar
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/760805
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author Tanja Burnik Papler
Eda Vrtačnik Bokal
Vesna Šalamun
Dejan Galič
Tomaž Smrkolj
Nina Jančar
author_facet Tanja Burnik Papler
Eda Vrtačnik Bokal
Vesna Šalamun
Dejan Galič
Tomaž Smrkolj
Nina Jančar
author_sort Tanja Burnik Papler
collection DOAJ
description We report a case of ureteral injury with delayed hematuria after transvaginal oocyte retrieval. A 28-year-old infertile patient with a history of previous laparoscopic resection of endometriotic nodes of both sacrouterine ligaments presented with abdominal pain one day after oocyte retrieval. Four days after oocyte retrieval, she presented with massive hematuria that reappeared 6 days after oocyte retrieval. Monopolar coagulation with wire electrode and insertion of a double-J-stent was performed during operative cystoscopy. The patient recovered completely after transfusion and had no signs of renal impairment after ureteric stent removal. This is the first report of ureteral injury after oocyte retrieval presenting itself with delayed massive hematuria and no signs of renal dysfunction or urinary leakage into retroperitoneal space.
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institution Kabale University
issn 2090-6684
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-691bd52af45b4434b4b3e2873eb1a3902025-02-03T07:25:06ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/760805760805Ureteral Injury with Delayed Massive Hematuria after Transvaginal Ultrasound-Guided Oocyte RetrievalTanja Burnik Papler0Eda Vrtačnik Bokal1Vesna Šalamun2Dejan Galič3Tomaž Smrkolj4Nina Jančar5Division of Obstetrics and Gynecology, Department of Human Reproduction, University Medical Centre Ljubljana, Šlajmerjeva 3, SI-1000 Ljubljana, SloveniaDivision of Obstetrics and Gynecology, Department of Human Reproduction, University Medical Centre Ljubljana, Šlajmerjeva 3, SI-1000 Ljubljana, SloveniaDivision of Obstetrics and Gynecology, Department of Human Reproduction, University Medical Centre Ljubljana, Šlajmerjeva 3, SI-1000 Ljubljana, SloveniaDivision of Surgery, Department of Urology, University Medical Centre Ljubljana, Zaloška 7, SI-1000 Ljubljana, SloveniaDivision of Surgery, Department of Urology, University Medical Centre Ljubljana, Zaloška 7, SI-1000 Ljubljana, SloveniaDivision of Obstetrics and Gynecology, Department of Human Reproduction, University Medical Centre Ljubljana, Šlajmerjeva 3, SI-1000 Ljubljana, SloveniaWe report a case of ureteral injury with delayed hematuria after transvaginal oocyte retrieval. A 28-year-old infertile patient with a history of previous laparoscopic resection of endometriotic nodes of both sacrouterine ligaments presented with abdominal pain one day after oocyte retrieval. Four days after oocyte retrieval, she presented with massive hematuria that reappeared 6 days after oocyte retrieval. Monopolar coagulation with wire electrode and insertion of a double-J-stent was performed during operative cystoscopy. The patient recovered completely after transfusion and had no signs of renal impairment after ureteric stent removal. This is the first report of ureteral injury after oocyte retrieval presenting itself with delayed massive hematuria and no signs of renal dysfunction or urinary leakage into retroperitoneal space.http://dx.doi.org/10.1155/2015/760805
spellingShingle Tanja Burnik Papler
Eda Vrtačnik Bokal
Vesna Šalamun
Dejan Galič
Tomaž Smrkolj
Nina Jančar
Ureteral Injury with Delayed Massive Hematuria after Transvaginal Ultrasound-Guided Oocyte Retrieval
Case Reports in Obstetrics and Gynecology
title Ureteral Injury with Delayed Massive Hematuria after Transvaginal Ultrasound-Guided Oocyte Retrieval
title_full Ureteral Injury with Delayed Massive Hematuria after Transvaginal Ultrasound-Guided Oocyte Retrieval
title_fullStr Ureteral Injury with Delayed Massive Hematuria after Transvaginal Ultrasound-Guided Oocyte Retrieval
title_full_unstemmed Ureteral Injury with Delayed Massive Hematuria after Transvaginal Ultrasound-Guided Oocyte Retrieval
title_short Ureteral Injury with Delayed Massive Hematuria after Transvaginal Ultrasound-Guided Oocyte Retrieval
title_sort ureteral injury with delayed massive hematuria after transvaginal ultrasound guided oocyte retrieval
url http://dx.doi.org/10.1155/2015/760805
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