자연 생리주기에서 발생된 병합임신 1예
A Case of Heterotopic Pregnancy in a Natural Cycle
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초록
병합임신은 자연생리 주기에서는 빈도가 매우 드문 질환이지만 최근 배란유도나 보조생식 기술의 발달과 골반내 염증, 골반수술의 증가로 그 빈도가 점차 증가추세에 있다. 조기 진단이 어렵지만 조기진단만 가능하면 개복술없이도 자궁 외 임신을 종결하고 정상 자궁강내 임신을 유지시킬 수 있으므로 그 진단에 최선을 다해야겠다. 저자들은 안양병원에서 자연 생리주기에서 6주간의 무월경과 심한 하복부 통증을 주소로 내원한 32세 여환에서 발견된 우측 난관임신과 자궁강내 임신이 공존하는 병합임신을 간단한 문헌 고찰과 함께 보고하는 바이다.
Abstract
Heterotopic pregnancy is the coexistency of intrauterine and extrauterine pregnancy. The incidence of heterotopic pregnancy is about 1 to 30,000 pregnancy in a natural cycle. However, the frequency of heterotopic pregnancy has steadily increased because of rising incidence of pelvic inflammatory disease, pelvic surgery and the development of ovulation induction and assisted reproduction. The clinical diagnosis of heterotopic pregnancy is difficult due to low incidence. Many of the cases are diagnosed by rupture of ectopic mass that makes serious complication to mother and fetus. We experienced a case of heterotopic pregnancy in a 32-year old woman who presented with acute abdominal pain in a natural cycle and report this case with a brief review of literature.
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