ArticleO&G open2025
Ovarian Hemorrhage as a Complication of Venovenous Extracorporeal Membrane Oxygenation.
Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHemorrhage is one of the major complications of extracorporeal membrane oxygenation (ECMO). The most common types of hemorrhagic complications include cannulation site, skin, mucosa, gastrointestinal tract, respiratory tract, and intracranial. There are rare cases of uterine hemorrhage in patients supported by venovenous ECMO. The frequency of gynecologic hemorrhage in patients supported by venovenous ECMO is not well characterized. CASE: A 23-year-old woman presented for elective gastrostomy tube placement and developed acute respiratory distress syndrome requiring initiation of venovenous ECMO to bridge to lung transplantation. Her hemoglobin dropped to 7.5 g/dL on postoperative day 20, and a computed tomography scan showed evidence of a large hemoperitoneum with concern for a ruptured ovarian cyst. The patient underwent right ovarian artery particle embolization to control the bleeding; however, an abdominal washout was required due to increasing bladder pressures. The patient remained hypotensive, requiring pressors, and was deemed to no longer meet criteria for lung transplantation. The patient died on postoperative day 38.
conclusionFurther investigation is needed to better characterize gynecologic hemorrhage in patients of childbearing age supported by venovenous ECMO.
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Registered trials
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