Fertility and sterility · 2011
Rupture of endometriotic ovarian cyst causes acute hemoperitoneum in twin pregnancy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Reif Philipp, Schöll Wolfgang, Klaritsch Philipp, Lang Uwe
Аннотация
OBJECTIVE: To present a case of an acute hemoperitoneum caused by a ruptured ovarian cyst in a late twin pregnancy.
DESIGN: Case report study.
SETTING: Department of Obstetrics and Gynecology, Medical University of Graz, Austria.
PATIENT(S): A woman with a history of surgery for endometriosis and currently pregnant with dichorionic twins after IVF presented with acute abdominal pain.
INTERVENTION(S): Serial ultrasound assessment revealed a massive hemoperitoneum that was caused by a ruptured endometriotic ovarian cyst. Emergency laparotomy was performed.
MAIN OUTCOME MEASURE(S): Hemostasis.
RESULT(S): Laparotomy led to operative hemostasis and preterm cesarean section of healthy twins at 27 weeks of gestation.
CONCLUSION(S): Endometriosis occurs in about 10% of women of reproductive age and carries an infertility rate of up to 50%. Severe endometriosis used to be a rare event in patients with spontaneously conceived pregnancies. However, during the last decade, the increased use of assisted reproductive technologies has led to higher fertility rates in patients with endometriosis and to a higher incidence of multiple gestations. Therefore, the number of pregnant women with endometriosis and associated complications may rise.
DESIGN: Case report study.
SETTING: Department of Obstetrics and Gynecology, Medical University of Graz, Austria.
PATIENT(S): A woman with a history of surgery for endometriosis and currently pregnant with dichorionic twins after IVF presented with acute abdominal pain.
INTERVENTION(S): Serial ultrasound assessment revealed a massive hemoperitoneum that was caused by a ruptured endometriotic ovarian cyst. Emergency laparotomy was performed.
MAIN OUTCOME MEASURE(S): Hemostasis.
RESULT(S): Laparotomy led to operative hemostasis and preterm cesarean section of healthy twins at 27 weeks of gestation.
CONCLUSION(S): Endometriosis occurs in about 10% of women of reproductive age and carries an infertility rate of up to 50%. Severe endometriosis used to be a rare event in patients with spontaneously conceived pregnancies. However, during the last decade, the increased use of assisted reproductive technologies has led to higher fertility rates in patients with endometriosis and to a higher incidence of multiple gestations. Therefore, the number of pregnant women with endometriosis and associated complications may rise.