Rectus sheath hematoma after transvaginal follicle aspiration: a rare complication of in vitro fertilization.

OBJECTIVE: To discuss the diagnosis and management of rectus sheath hematomas after transvaginal follicle aspiration. DESIGN: Case report. SETTING: A single healthy patient in an academic IVF center. PATIENT(S): A healthy patient undergoing routine transvaginal follicle aspiration for IVF. INTERVENTION(S): CT scan, serial phlebotomy, IV fluid, in-patient observation. MAIN OUTCOME MEASURE(S): Condition at discharge. RESULT(S): Patient was successfully managed with conservative measures. After the initial decline, serial hematocrits were stable over 24 hours without any operative interventions. CONCLUSION(S): Rectus sheath hematomas are rare complications of IVF and can be managed conservatively.

Duke Scholars

Author Megan Justine Huchko Obstetrics and Gynecology, Women's Community & Population He ...