Uterine infarction in a patient with uterine adenomyosis following biochemical pregnancy / 대한생식의학회지
Clinical and Experimental Reproductive Medicine
; : 174-177, 2014.
Article
en En
| WPRIM
| ID: wpr-85670
Biblioteca responsable:
WPRO
ABSTRACT
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.
Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Hemorragia Uterina
/
Imagen por Resonancia Magnética
/
Fertilización In Vitro
/
Dolor Abdominal
/
Dolor Pélvico
/
Diagnóstico Diferencial
/
Embolización de la Arteria Uterina
/
Fiebre
/
Adenomiosis
/
Hiperplasia
Tipo de estudio:
Diagnostic_studies
Límite:
Animals
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Clinical and Experimental Reproductive Medicine
Año:
2014
Tipo del documento:
Article