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Fertil Steril. 2012 Dec;98(6):1470-3. doi: 10.1016/j.fertnstert.2012.08.010. Epub 2012 Sep 8.

Acute portal vein thrombosis complicating in vitro fertilization.

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  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut, USA.

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.

Copyright © 2012 American Society for Reproductive Medicine. All rights reserved.

PMID:
22963807
[PubMed - indexed for MEDLINE]
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