Uterine infarction in a patient with uterine adenomyosis following biochemical pregnancy.
10.5653/cerm.2014.41.4.174
- Author:
Jae Yeon LEE
1
;
Kyu Ri HWANG
;
Kyu Hee WON
;
Da Yong LEE
;
Hye Won JEON
;
Min Hwan MOON
Author Information
1. Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, Korea. orangemd@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Adenomyosis;
Infarction;
In vitro fertilization
- MeSH:
Abdominal Pain;
Adenomyosis*;
Animals;
Diagnosis, Differential;
Female;
Fertilization in Vitro;
Fever;
Humans;
Hyperplasia;
Hypertrophy;
Infarction*;
Leiomyoma;
Magnetic Resonance Imaging;
Mice;
Myometrium;
Pelvic Pain;
Pregnancy*;
Uterine Artery Embolization;
Uterine Hemorrhage
- From:Clinical and Experimental Reproductive Medicine
2014;41(4):174-177
- CountryRepublic of Korea
- Language:English
-
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.
