Acute portal vein thrombosis complicating in vitro fertilization.

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.