체외 수정 시술 후 발생한 병합 임신 1예
A Case of Heterotopic Pregnancy Following in vitro-fertilization
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초록
병합 임신은 자궁강 내와 자궁 외에 동시에 2개 이상의 임신이 되는 것으로, 모체나 태아에게 치명적이며, 자연적으로 발생시 그 빈도가 드문 질환이나 최근 골반 염증, 골반강 내 수술의 기왕력, 자궁내 피임 장치의 삽입, 불임 환자의 체외 수정 및 배란 유도, 보조 생식술의 증가로 그 빈도가 점차 증가하고 있다.이 증례는 체외 수정 후 자궁 내 쌍태 임신과 우측 난관 임신이 병합된 경우로 임신 6주경 난관 임신 파열로 급성 혈복증이 발생하여 복강경 하 우측 난관 절제술을 시행하고 이후에 건강한 쌍태아를 만삭 분만하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Heterotopic pregnancy occurs when an intrauterine pregnancy co-exists with an ectopic pregnancy. It is a potentially fatal condition, rarely occuring in natural conception cycle. But its incidence is increased since the rise in PID, pelvic surgery, IUD, and advent of assisted reproductive technology involving use of superovulatory drugs and/or in vitro-fertilization. We present a case of intrauterine twin pregnancy and right tubal pregnancy following treatment with in vitro-fertilization. The right tubal pregnancy was diagnosed after rupturing at 6th gestational weeks, and resected via laparoscopy. And healthy twin babies were delivered without complication at 38th gestational week. So we report this case with a brief review of the literatures.
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