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

C. Mann; K. Karl; B. Ertl-Wagner; H. Weigand; C. J. Thaler

doi:10.1055/s-0042-106086

GebFra - DGGG-Gesellschaftsausgaben, Table of Contents

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

¹Gynecological Endocrinology and Reproductive Medicine, Department of Gynecology and Obstetrics, Ludwig-Maximilians-University Hospital, Maistr. 11, 80337 Munich, Germany

,

K. Karl

²Prenatal 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

³Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital, Munich, Germany

,

H. Weigand

⁴Department of Pediatric Neurology Ludwig-Maximilians-University Hospital, Munich, Germany

,

C. J. Thaler

¹Gynecological Endocrinology and Reproductive Medicine, Department of Gynecology and Obstetrics, Ludwig-Maximilians-University Hospital, Maistr. 11, 80337 Munich, Germany

⁵Gynecological Endocrinology and Reproductive Medicine, Department of Gynecology and Obstetrics, Ludwig-Maximilians-University Hospital, Marchioninistr. 15, 81377 Munich, Germany

› Author Affiliations

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

Full Text

References

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