Uterine infarction in a patient with uterine adenomyosis following biochemical pregnancy

Lee, Jae-Yeon; Hwang, Kyu-Ri; Won, Kyu-Hee; Lee, Da-Yong; Jeon, Hye-Won; Moon, Min-Hwan

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자료유형: 학술저널

저자정보: Lee, Jae-Yeon (Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center) Hwang, Kyu-Ri (Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center) Won, Kyu-Hee (Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center) Lee, Da-Yong (Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center) Jeon, Hye-Won (Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center) Moon, Min-Hwan (Department of Radiology, SMG-SNU Boramae Medical Center)

저널정보: 대한생식의학회 Clinical and experimental reproductive medicine : CERM Clinical and experimental reproductive medicine : CERM 제41권 제4호

발행연도: 2014.1

수록면: 174 - 177 (4page)

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Adenomyosis is a common gynecological disorder characterized by the presence of endometrial glands and stroma deep within the myometrium associated with myometrial hypertrophy and hyperplasia. Focal uterine infarction after IVF-ET in a patient with adenomyosis following biochemical pregnancy has not been previously reported, although it occurs after uterine artery embolization in order to control symptoms caused by fibroids or adenomyosis. We report a case of a nulliparous woman who had uterine adenomyosis presenting with fever, pelvic pain and biochemical abortion after undergoing an IVF-ET procedure and the detection of a slightly elevated serum hCG. Focal uterine infarction was suspected after a pelvic magnetic resonance imaging demonstrated preserved myometrium between the endometrial cavity and inner margin of the necrotic myometrium. This case demonstrates that focal uterine infarction should be considered in the differential diagnosis of acute abdominal pain, vaginal bleeding and infectious signs in women experiencing biochemical abortion after an IVF-ET procedure.

#Adenomyosis #Infarction #In vitro fertilization

참고문헌 (16)

참고문헌 신청

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Bradley LD / 2009 / Uterine fibroid embolization: a viable alternative to hysterectomy / Am J Obstet Gynecol 201:127~135

Kim MD / 2007 / Long-term results of uterine artery embolization for symptomatic adenomyosis / AJR Am J Roentgenol 188:176~181

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