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대한생식의학회지 제31권 제4호 2010년
체외수정 시술 후 발생한 자궁벽내 임신 1예
성균관대학교 의과대학 삼성제일병원 산부인과1, 서울여성병원 산부인과2
차선화1, 박종택1,김해숙1,송현정1,강은희2,송현진2,강인수1
Intramural Pregnancy after in vitro Fertilization and Embryo Transfer
Sun Hwa Cha1, Chong Taik Park1, Hae Suk Kim1, Hyun Jung Song1,Eun Hee Kang2, Hyun Jin Song2, Inn Soo Kang1
1Department of Obstetrics and Gynecology, Samsung Cheil Hospital andWomen's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea, 2Department of Obstetrics and Gynecology, Seoul Women's Hospital, Incheon, Korea
Intramural pregnancy is an unusual ectopic gestation located within the uterine wall, completely surrounded by myometrium and separate from the uterine cavity, fallopian tube, or round ligament. It is known to be difficult to diagnose, and associated with a high rate of uterine rupture. We report a case of intramural pregnancy in which early diagnosis was made and successful treatment was done by dilatation and curettage. Diagnostic laparoscopy confirmed the absence of uterine rupture during the procedure. Therefore, conservation of fertility can be possible with early diagnosis of intramural pregnancy. To our knowledge, this is the first case report of intramural pregnancy following IVF-ET in Korea.
키워드 : Intramural pregnancy, IVF-ET, Conservative treatment
교신저자 : ikang6@users.unitel.co.kr
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