Porod zdravého plodu v graviditě po IVF komplikované hyperstimulačním syndromem, flebotrombózou a resekcí rohu děložního. Kazuistika

Delivery of a Healthy Child from Pregnancy after IVF Complicated Hyperstimulation Syndrome, Phlebothrombosis and Resection of Uterine Horn

Objective:
To evaluate the negative effect of uterine horn resection for heterotopic pregnancy in the uterine horn in the first trimester on the course of pregnancy and labor. To point out the increased incidence of other complications in pregnancy after IVF+ET (ovarian hyperstimulation syndrome, phlebothrombosis of the pelvic veins).

Design:
Case study.

Setting:
Department of Obstetrics and Gynecology, 1^st Faculty of Medicine, Charles University and General Faculty Hospital, Prague.

Methods:
In this study, the authors analyze their experience with the course of pregnancy of a patient who had uterine horn resection for a heterotopic uterine horn pregnancy after IVF+ET. The course of pregnancy was associated with further complications such as ovarian hyperstimulation syndrome and the resulting occurence of thrombosis in the 2nd trimester of pregnancy. The pregnancy was terminated by caesarean section for the indication of prior uterine surgery-resection of the uterine horn in the first trimester. A healthy infant was delivered.

Conclusion:
This case study demonstrates the multiple occurrence of serious complications in pregnancy after IVF+ET, which are associated with ovarian hyperstimulation and the transfer of multiple embryos. The pregnancy was terminated with the delivery of a healthy term infant.

Key words:
methods of assisted reproduction, ovarian hyperstimulation syndrome, uterine horn resection, heterotopic pregnancy, phlebothrombosis