Внематочная беременность и острый аппендицит во время беременности, наступившей после экстракорпорального оплодотворения(клинический случай)

Acta Biomedica Scientifica

Е. Б. Дружинина¹  В. Н. Дудакова²  А. В. Лабыгина⁴  Н. В. Протопопова⁴  Н. А. Болдонова⁵ 

[1] ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница»;ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница», Областной перинатальный центр;ГБУЗ «Иркутская ордена «Знак почёта» областная клиническая больница», Областной перинатальный центр;Иркутская государственная медицинская академия последипломного образования - филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России;ФГБНУ «научный центр проблем здоровья семьи и репродукции человека»

关键词: трубно-перитонеальное бесплодие;    экстракорпоральное оплодотворение;    перенос эмбрионов;    беременность;    внематочная беременность;    острый аппендицит;   

DOI  :  10.12737/article_5a3a0ef4115ba3.66333671

学科分类：自然科学（综合）

来源: Scientific entre for Family Health and Human Reproduction Problems

【 摘 要 】

The paper presents a clinical case of the Patient T., 34years old, who underwent the treatment in the Department of ART of the Regional Perinatal Center for tubal peritoneal infertility for seven years. In the anamnesis: one spontaneous uterine pregnancy, culminating in medical abortion for up to 12 weeks, treatment for chronic salpingo-oophoritis, tubectomy on the right side for a progressing ectopic pregnancy. The patient denied the presence of Chlamydia infection in the anamnesis. Studies on sexually transmitted infections before the 1VF program were negative. During laparoscopic tubectomy, no endometriotic foci were found. There were four programs of ART in anamnesis: in 2009, 2012, 2014,2016. During the fourth ART program in 2016, two embryos were transferred to the uterine cavity, resulting in a uterine pregnancy in combination with an ectopic pregnancy diagnosed in the ultrasound study at 4 to 5 weeks of gestation, in the absence of clinical symptoms. The patient underwent emergency laparoscopic tubectomy on the left, the course of the postoperative period proceeded without complications. Later, in the period of uterine pregnancy of 7-8 weeks, with a clinical picture of acute appendicitis, the woman was hospitalized in the surgical department where she underwent laparoscopic appendectomy. Later the pregnancy proceeded without complications, at 39 weeks the planned cesarean section was performed, a girl weighing 3480 grams, 51 cm long with an Apgar score of 9-10 points was extracted on the operation. The course of the early postoperative period without complications, the patient was discharged with the child on the 4th day.

【 授权许可】

CC BY