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.