Hemoperitoneum complicating an oocyte puncture in a chronic hemodialysis patient - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Journal of Nephrology Année : 2022

Hemoperitoneum complicating an oocyte puncture in a chronic hemodialysis patient

Résumé

We report the case of a 31-year-old patient on chronic hemodialysis for 17 years, after two failed kidney grafts, presently on daily home hemodialysis. She underwent follicle puncture for oocyte retrieval in the context of an in vitro fertilization program. This procedure was complicated by hemoperitoneum, requiring transfusion of 2 units of packed red blood cells and 2 units of fresh-frozen plasma, as well as an emergency laparoscopy to drain the hemoperitoneum and perform local hemostasis of the ovarian bleeding. This complication occurred following the patient's routine hemodialysis session, performed with the usual systemic anticoagulation with unfractionated heparin. The evolution was favorable and there was no recurrence of bleeding or sequelae. A later hematology workup did not reveal any pathology of hemostasis that might have favored bleeding. This case may underline how, even though assisted reproductive procedures are increasingly performed in patients on dialysis, special care should be taken when these procedures are performed in this fragile population.
Fichier non déposé

Dates et versions

hal-04083956 , version 1 (27-04-2023)

Identifiants

Citer

Celine Schultz, Stéphanie Huberlant, Vincent Letouzey, Olivier Moranne. Hemoperitoneum complicating an oocyte puncture in a chronic hemodialysis patient. Journal of Nephrology, 2022, 35 (9), pp.2433-2435. ⟨10.1007/s40620-022-01270-8⟩. ⟨hal-04083956⟩
7 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More