Acute portal vein thrombosis complicating in vitro fertilization

ObjectiveTo describe a case of acute portal vein thrombosis after IVF treatment.DesignCase report.SettingUniversity 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.