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특발성 혈소판 감소성 자반증이 있는 초산모에서 전자간증 합병후 발생한 분만기주위 심근증
손창업 ( Chang Up Son ),강경화 ( Kyoung Hwa Kang ),나우석 ( Woo Suk Na ),정민 ( Min Choung ),류지훈 ( Ji Hoon Ryu ),민병강 ( Byoung Kang Min ),김기환 ( Ki Hwan Kim ),이병관 ( Byung Kwan Lee ),노정훈 ( Jeong Hoon Rho ),오관영 ( Kw 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.7
Peripartum cardiomyopathy is a dilated cardiomyopathy of unexplained cause that occurs during the last trimester of pregnancy or within 5 months after delivery. And, It is a rare disease that has a frequency of 1 in 1,300-15,000 deliveries. It has not yet been reported that peripartum cardiomyopathy has occurred in an preeclampsia woman superimposed on idiopathic thrombocytopenic purpura. Moreover, the association between idiopathic thrombocytopenic purpura and peripartum cardiomyopathy has not been studied. Recently, we experienced a case of a woman who has undergone emergency Cesarean section due to complicated severe preeclampsia superimposed on idiopathic thrombocytopenic purpura. On the postoperative day, this patient developed respiratory distress and pulmonary edema. Peripartum cardiomyopathy was diagnosed by echocardiography and we present with a brief review of literatures.
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.
라우석 ( Woo Suk Ra ),김기환 ( Ki Hwan Kim ),손창업 ( Chang Up Son ),정민 ( Min Choung ),노정훈 ( Jeong Hoon Rho ),황인택 ( In Tak Hwang ),박준숙 ( Joon Suk Park ) 대한주산의학회 2007 Perinatology Vol.18 No.4
A non-communicating rudimentary uterine horn is a rare Mllerian duct anomaly. We experienced a case of unruptured rudimentary uterine horn pregnancy. The patient was diagnosed by laparoscopy and removed by laparoscopic resection of the pregnant rudimentary uterine horn was performed. We report our case with brief review of literatures.