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Open Access Case report

Hemoperitoneum presenting with the use of a topical hemostatic agent in oocyte retrieval: a case report

Amélie Chatrian*, Clémentine Vidal, Véronique Equy, Pascale Hoffmann and Fabrice Sergent

Author Affiliations

Service de Gynécologie-Obstétrique, CHU de Grenoble, Grenoble Cedex 09 38043, France

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Journal of Medical Case Reports 2012, 6:395  doi:10.1186/1752-1947-6-395

Published: 22 November 2012

Abstract

Introduction

Hemoperitoneum may occur from an ovarian puncture point after oocyte retrieval.

Case presentation

We report a case of massive hemoperitoneum following transvaginal ultrasound-guided oocyte retrieval in a 33-year-old Caucasian woman. The bleeding required emergency laparoscopy because of active bleeding from the ovarian puncture point. Hemostasis was very difficult to achieve, and traditional operative procedures were not efficient. The only way to stop the bleeding was by using an absorbable fibrinogen and thrombin sealant sponge, which was applied around the ovary. During laparoscopy three pints of packed red blood were administered. No specific alteration of screening coagulation tests was found one month later.

Conclusions

Hemostasis can be very difficult to achieve with traditional operative procedures. Topical hemostatic agents can be useful to preserve the ovary wherever possible.

Keywords:
Oocyte retrieval; hemoperitoneum; TachoSil®