양측 난관 절제술 후 체외수정술에 의한 병합임신
Interstitial heterotopic pregnancy by in vitro fertilization and embryo transfer after bilateral salpingectomy
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
생식보조술이 발달한 이래로 병합임신과 자궁각 임신의 빈도가 증가하는 추세이지만, 이전에 양측 난관 절제술을 받았던 여성에게서 병합임신이 발생하는 경우는 매우 드물다. 저자들은 이전에 양측 난관절제술을 받았던 32세 여성에게서 체외수정 후에 발생한 병합임신으로 자궁각의 파열로 인한 혈복강으로 인하여 개복술을 통한 자궁각절제술을 시행하였으나, 수술 후 자궁 내 태아는 자연유산되어 소파술을 시행한 예를 경험하였기에 보고하는 바이다.
Abstract
Although assisted reproductive technology is associated with higher rates of interstitial pregnancy and heterotopic pregnancy, heterotopic pregnancy after bilateral salpingectomy is still extremely rare. We report a case of heterotopic pregnancy after bilateral salpingectomy in an in vitro fertilization/embryo transfer patient, who underwent cornual resection by laparotomy due to ruptured cornual pregnancy. However, 3 days after surgery, the remaining intrauterine pregnancy miscarried, and a dilatation and curettage was performed.
참고문헌 (15)
- Lau S, "Conservative medical and surgical management of interstitial ectopic pregnancy", Fertil Steril, 72, pp.207~215 (1999)
- Rojansky N, "Heterotopic pregnancy and assisted reproduction-an update", J Assist Reprod Genet, 13, pp.594~601 (1996)
- Ben-Ami I, "Recurrent heterotopic pregnancy after bilateral salpingectomy in an IVF patient: case report", J Assist Reprod Genet, 23, pp.333~335 (2006)
- Blazar AS, "Heterotopic pregnancy after bilateral salpingectomy resulting in near-term delivery of a healthy infant", Fertil Steril, 88, pp.1676.e1~1676.e2 (2007)
- Chang Y, "An unexpected quadruplet heterotopic pregnancy after bilateral salpingectomy and replacement of three embryos", Fertil Steril, 80, pp.218~220 (2003)
- Dumesic DA, "Interstitial heterotopic pregnancy in a woman conceiving by in vitro fertilization after bilateral salpingectomy", Mayo Clin Proc, 76, pp.90~92 (2001)
- Sharif K, "Heterotopic pregnancy obtained after in-vitro fertilization and embryo transfer following bilateral total salpingectomy: case report", Hum Reprod, 9, pp.1966~1967 (1994)
- Kasum M, "Combined interstitial and intrauterine pregnancies after in-vitro fertilization and embryo transfer", Hum Reprod, 13, pp.1547~1549 (1998)
- 윤내영, "양측 난관절제술 환자에서 체외수정 후 5회째의 자궁외임신으로 발생한 병합임신 1례", 대한산부회지, 42, pp.2078~2080 (1999)
- Tal J, "Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993", Fertil Steril, 66, pp.1~12 (1996)
- 박성호, "자궁외임신의 최근 8년간의 임상적 고찰", Korean Journal of Obstetrics and Gynecology, 52(2), pp.245~252 (2009), 대한산부인과학회
- Jafri SZ, "Sonographic detection of interstitial pregnancy", J Clin Ultrasound, 15, pp.253~257 (1987)
- Timor-Tritsch IE, "Sonographic evolution of cornual pregnancies treated without surgery", Obstet Gynecol, 79, pp.1044~1049 (1992)
- Ackerman TE, "Interstitial line: sonographic finding in interstitial (cornual) ectopic pregnancy", Radiology, 189, pp.83~87 (1993)
- Louis-Sylvestre C, "The role of laparoscopy in the diagnosis and management of heterotopic pregnancies", Hum Reprod, 12, pp.1100~1102 (1997)