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질식 고주파 자궁근종용해술 후 임신에 성공하여 질식 자연분만을 시행한
김현영 ( Hyun Young Kim ),진찬희 ( Chan Hee Jin ),노정훈 ( Jeong Hoon Rho ),황인택 ( In Taek Hwang ),송영래 ( Young Rae Song ),김기환 ( Ki Hwan Kim ) 대한주산의학회 2008 Perinatology Vol.19 No.4
Radiofrequency myolysis does not require general anesthesia and is safe and effective treatment for uterine myomas tried to women in women who wish to conserve the uterus. However, a controversial issue is whether radiofrequency myolysis is safe to women who desire future pregnancies. We report a case who experienced full term spontaneous vaginal delivery without uterine rupture after radiofrequency myolysis.
진찬희 ( Chan Hee Jin ),김현영 ( Hyun Young Kim ),김기환 ( Ki Hwan Kim ),노정훈 ( Jeong Hoon Rho ),오관영 ( Kwan Young Oh ),백태화 ( Tae Hwa Bek ),송영래 ( Young Rae Song ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.8
Spontaneous ovarian artery rupture is exceedingly rare case that occur in the postpartum period. There were the cases that occurred aneurysmal rupture of ovarian artery and the coronary artery rupture in the women postpartum period without preeclampsia. There were the cases that occurred the cerebral artery rupture or retinal artery rupture in preeclampsia, but ovarian artery rupture is unreported. The cause of ovarian artery rupture in the postpartum period is unknown, but we thought that thinned arterial wall may be the cause during this period. The women in preeclampsia have high risk factors such as hypertension and pathologic disorder of the vessel. The retroperitoneal hemorrhage due to ovarian artery rupture cause hypovolemic shock, eventually death, therefore, it is necessary to immediate diagnosis and treatment. We described a case of spontaneous right ovarian artery rupture that occurred 2 days after vaginal delivery in preeclampsia including a review of the literature.
정민 ( Min Choung ),노정훈 ( Jeong Hoon Rho ),손창업 ( Chang Up Son ),나우석 ( Woo Suk Na ),이병관 ( Byung Kwan Lee ),송영래 ( Young Rae Song ),류지훈 ( Ji Hoon Ryu ),황인택 ( In Taek Hwang ),김기환 ( Ki Hwan Kim ) 대한주산의학회 2007 Perinatology Vol.18 No.3
Uterine sacculation is a very rare complication associated with pregnancy in which a part of the uterine wall balloons, and it is difficult to diagnose because it is usually asymptomatic. It frequently contains the placenta and sometimes may be involved with the trapped placenta after delivery due to its structural characteristic. It is impossible to remove the retained placenta in the sac by using usual methods such as manual delivery or curettage so most of patients with it end up with having a laparotomy. Especially, if the placenta in it is accompanied by abnormal adherence of the placenta or serious hemorrhage, hysterectomy should be considered. Currently several conservative methods for the retained placenta including selective uterine artery embolization and administration of methotrexate have been introduced and these may be tried to treat the retained placenta in the uterine sacculation for avoiding operation and preserving future reproductive potential in selective cases. We experienced a case of placenta increta in the uterine sacculation that was diagnosed first during cesarian section and was treated with selective uterine artery embolization followed by methotrexate administration. This case is reported with a brief review of the literatures.