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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 760805, 4 pages
http://dx.doi.org/10.1155/2015/760805
Case Report

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

1Division of Obstetrics and Gynecology, Department of Human Reproduction, University Medical Centre Ljubljana, Šlajmerjeva 3, SI-1000 Ljubljana, Slovenia
2Division of Surgery, Department of Urology, University Medical Centre Ljubljana, Zaloška 7, SI-1000 Ljubljana, Slovenia

Received 23 March 2015; Accepted 28 May 2015

Academic Editor: Madoka Furuhashi

Copyright © 2015 Tanja Burnik Papler et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.