An oocyte pick-up procedure complicated with pseudoaneurysm of the internal iliac artery.

Objective: To describe a patient with a pseudoaneurysm of the internal iliac artery after oocyte retrieval, during an intracytoplasmic sperm injection (ICSI) and embryo transfer cycle.

Design: Case report.

Setting: Tertiary center for assisted reproductive technologies (ART).

Patient(s): A 22-year-old woman with a duration of 6 years of primary infertility.

Intervention(s): The evaluation of the pseudoaneurysm with ultrasonography and angiography. The management of pregnancy complicated with pseudoaneurysm and viable treatment modalities.

Main Outcome Measure(s): Healthy baby and treatment of pseudoaneurysm.

Results(s): A healthy female infant with a birth weight of 1,470 g was born by cesarean section at 32 weeks of gestation. The pseudoaneurysm of the left inferior pudental artery was completely embolized with 1 mL (50%) of N-butyl-2-cyanoacrylate.

Conclusion(s): The pseudoaneurysm of the iliac vessels is an extremely rare complication of the oocyte retrieval procedure. With a multidisciplinary approach, optimal management should depend on the diameter and localization of the pseudoaneurysm, week of gestation, hemodynamic status of the mother and infant, and the available technologies.