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체외수정시술로 임신한 산모에서 발생한 장간막 정맥혈전증에 의한 공장 경색 증례

Other Titles
 A case of ileal ischemia caused by mesenteric vein thrombosis in women conceived through IVF-ET 
Authors
 안소현  ;  이재훈  ;  조시현  ;  최영식  ;  이병석 
Citation
 Journal of Chronic Pelvic Pain, Vol.9 : 109-116, 2018 
Journal Title
 Journal of Chronic Pelvic Pain 
ISSN
 2093-9353 
Issue Date
2018
Keywords
Abdominal pain ; Mesenteric vein thrombosis ; Bowel ischemia ; IVF-ET ; Pregnancy
Abstract
Mesenteric vein thrombosis (MVT) is rare in pregnant women, but could be a potentially life-threatening condition. We present here a case of MVT in 32-year-old Korean woman at 8 weeks’ gestation. She conceived via in vitr o fertilization-embryo transfer and was taking oral estrogen for luteal support. She was referred to the emergency unit of our hospital complaining of whole abdominal pain which was aggravated the last 2 days along with vomiting. A clinical examination revealed tenderness on palpation of left lower abdomen and tachycardia. Diagnostic laparoscopy was performed and revealed ileal ischemia in 50cm length. Resection of necrotic portion of ileum and side-to-side anastomosis was performed via open laparotomy. She was treated with low molecular weight heparin postoperatively and delivered by cesarean section at term without additional complications. MVT should be considered in the differential diagnosis of a pregnant woman with an acute abdomen.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Byung Seok(이병석) ORCID logo https://orcid.org/0000-0001-6001-2079
Lee, Jae Hoon(이재훈) ORCID logo https://orcid.org/0000-0003-4223-1395
Cho, Si Hyun(조시현) ORCID logo https://orcid.org/0000-0003-2718-6645
Choi, Young Sik(최영식) ORCID logo https://orcid.org/0000-0002-1157-4822
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/167290
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