Clinical and Experimental Reproductive Medicine

The Korean Society for Reproductive Medicine (대한생식의학회)
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Heterotopic Pregnancy in Polycystic Ovary Syndrome Woman Conceived after Ovulation Induction by Clomiphene Citrate: A Case of Bilateral Tubal Pregnancies and Intrauterine Twin Pregnancy

클로미펜을 이용한 배란 유도 후 임신된 다낭성 난소 증후군 여성에서 발견된 병합임신: 양측 난관임신 및 쌍태아 임신 1예

  • Woo, Jang-Hwan (Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Choi, Kyu-Hong (Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Kim, Bong-Seok (Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • An, Gye-Hyeong (Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Kim, Yun-Young (Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Chae, Young-Hwa (Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine)
  • 우장환 (관동대학교 의학대학 제일병원 산부인과) ;
  • 최규홍 (관동대학교 의학대학 제일병원 산부인과) ;
  • 김봉석 (관동대학교 의학대학 제일병원 산부인과) ;
  • 안계형 (관동대학교 의학대학 제일병원 산부인과) ;
  • 김윤영 (관동대학교 의학대학 제일병원 산부인과) ;
  • 채용화 (관동대학교 의학대학 제일병원 산부인과)
  • Received : 2010.05.17
  • Accepted : 2010.06.07
  • Published : 2010.09.30
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Abstract

Diagnosis of heterotopic pregnancy could be delayed because of insufficient clinical symptoms. Many clinician mistook the symptoms associated with ectopic pregnancy for the symptoms of complicated normal intrauterine pregnancy. The incidence of heterotopic pregnancies has been increased because of the use of various ovulation induction and assisted reproductive technologies. We experienced a case of bilateral tubal pregnancies and intrauterine twin pregnancy in polycystic ovary syndrome woman conceived after ovulation induction by clomiphene citrate. We report this case with a brief review of the literatures.

병합임신은 자궁 외 임신으로 인한 증상이 정상 자궁 내 임신으로 인한 것으로 오인되어 진단이 늦어지기 쉽다. 이러한 병합임신은 배란 유도제의 사용 및 보조 생식술로 인해 최근 증가되는 추세이다. 저자들은 다낭성 난소 증후군 여성에서 클로미펜을 이용한 배란 유도 후 임신된 여성에서 자궁 내 쌍태아 및 양측 난관에 임신이 된 예를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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