Geburtshilfe Frauenheilkd 2016; 76(08): 906-909
DOI: 10.1055/s-0042-106086
Case Report
GebFra Science
Georg Thieme Verlag KG Stuttgart · New York

Laparoscopic Chromopertubation, Myomectomy with Opening of the Uterine Cavity and Hysteroscopy during the Early Implantation Phase of an Undetected Pregnancy: Delivery of a Child with a Complex Brain Malformation

Laparoskopische Chromopertubation, Myomenukleation mit Öffnung der Gebärmutterhöhle und Hysteroskopie im Frühstadium der Nidation bei einer unentdeckten Schwangerschaft: Geburt eines Kindes mit komplexer Hirnfehlbildung
C. Mann
1   Gynecological Endocrinology and Reproductive Medicine, Department of Gynecology and Obstetrics, Ludwig-Maximilians-University Hospital, Maistr. 11, 80337 Munich, Germany
,
K. Karl
2   Prenatal Diagnosis, Department of Obstetrics and Gynecology, Ludwig-Maximilians-University Hospital, Maistr. 11, 80337 Munich, Germany; now: Prenatal Diagnosis Munich, Tegernseer Landstr. 64, 81541 Munich, Germany
,
B. Ertl-Wagner
3   Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital, Munich, Germany
,
H. Weigand
4   Department of Pediatric Neurology Ludwig-Maximilians-University Hospital, Munich, Germany
,
C. J. Thaler
1   Gynecological Endocrinology and Reproductive Medicine, Department of Gynecology and Obstetrics, Ludwig-Maximilians-University Hospital, Maistr. 11, 80337 Munich, Germany
5   Gynecological Endocrinology and Reproductive Medicine, Department of Gynecology and Obstetrics, Ludwig-Maximilians-University Hospital, Marchioninistr. 15, 81377 Munich, Germany
› Author Affiliations
Further Information

Publication History

received 22 November 2015
revised 09 February 2016

accepted 05 April 2016

Publication Date:
25 August 2016 (online)

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Abstract

A previously infertile woman underwent laparoscopic myomectomy involving opening of the uterine cavity and chromopertubation that showed closed Fallopian tubes during the early implantation stage of an undetected pregnancy. The pregnancy was not terminated, and a child with a complex brain malformation was delivered at 37 weeks of gestation by Cesarean section.

Zusammenfassung

Bei einer Patientin mit sekundärer Infertilität wurde, im Frühstadium der Einnistungsphase einer unbekannten Schwangerschaft, eine laparaskopische Myomenukleation mit Eröffnung des Cavums und Chromopertubation durchgeführt. Die Untersuchung zeigte verschlossene Tuben beidseits. Die Schwangerschaft wurde nicht abgebrochen, in der 37. SSW wurde die Patientin per Sectio caesarea von einem Kind mit einer komplexen Hirnfehlbildung entbunden.

Key words

embryonic period - malformation - infertility - pregnancy - reproductive medicine - sonography

Schlüsselwörter

Embryonalstadium - Fehlbildung - Unfruchtbarkeit - Schwangerschaft - Reproduktionsmedizin - Ultraschall
 

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