Paralytic ileus after bilateral intravitreal injection of bevacizumab

Kim, Young Gyun; Lee, Seung Jun; Han, Sang Beom; Kim, Moo‐Sang

doi:10.4103/0301-4738.181736

Cited by 2 publications

(1 citation statement)

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“…Groups of hormones and neurotransmitters, including nitric oxide, vasoactive intestinal peptide and substance P, have been identified as factors contributing to paralytic ileus via inhibitory action on the gastrointestinal tract. Recently, a reduction in gastrointestinal blood flow mediated by vascular endothelial growth factor (VEGF) – a key element of OHSS pathophysiology - was identified as a potential cause of paralytic ileus [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

In-vitro fertilization resulting in heterotopic pregnancy, ovarian hyperstimulation and paralytic ileus: A case report

Madžarac

Duić

Valetić

et al. 2019

Case Reports in Women's Health

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Heterotopic pregnancy followed by ovarian hyperstimulation syndrome and paralytic ileus are rare and potentially fatal complications associated with assisted reproduction. A 37-year-old nulliparous woman, after in-vitro fertilization and embryo transfer, presented to the gynaecology department with severe abdominal distension, diffuse abdominal pain and vaginal bleeding. Transvaginal ultrasound examination revealed an intrauterine pregnancy, with both ovaries enlarged, measuring 10cmx10cm, with free fluid in the pouch of Douglas. Another gestational sac was visualized in the left adnexal region with a viable pregnancy, crown–rump length (CRL) 6.6 mm at 6 weeks of gestation. Left salpingectomy via laparotomy and uterine evacuation were performed. The patient's postoperative course was complicated by the development of ovarian hyperstimulation syndrome and paralytic ileus. The patient recovered well after receiving supportive therapy. Clinicians should always be aware of the complications associated with assisted reproductive techniques.

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Section: Discussionmentioning

confidence: 99%