Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: Report of the first case
The most common casues of acute abdomen during pregnancy are acute appendicitis followed by acute cholecystitis. The case presented is a 33-year-old patient in 16 weeks′ in vitro fertilization and embryo transfer pregnacy who developed acute cholecystitis. Previously there were two unsuccessful cycl...
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Wolters Kluwer Medknow Publications
2012-01-01
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doaj-b2d97cc4e36646fca01ad67a27a027482020-11-24T23:43:19ZengWolters Kluwer Medknow PublicationsJournal of Postgraduate Medicine0022-38590972-28232012-01-0158429830010.4103/0022-3859.105455Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: Report of the first caseG AugustinH VrcicB ZupancicThe most common casues of acute abdomen during pregnancy are acute appendicitis followed by acute cholecystitis. The case presented is a 33-year-old patient in 16 weeks′ in vitro fertilization and embryo transfer pregnacy who developed acute cholecystitis. Previously there were two unsuccessful cycles, one complicated with ovarian hyperstimulation syndrome. Due to clinical deterioration during intravenous antibiotic therapy laparoscopic cheolecystecomy was performed and acute cholecystitis found. The postoperative course was uneventful. During the first 24 h tocolysis with intravenous fenoterol in addition to peroral atenolol 2 Χ 50 mg was administered. Postoperative course was uneventuful with further normal pregnancy. Elective cesarean section was made in term pregnancy (39 weeks) with singleton with Apgar 10/10. Current guidelines do not recommend prophylactic tocolysis in pregnant population with acute abdomen but there is no mention of the IVF-ET subpopulation of patients. Also, there are no guidelines for thromboprophylaxis in such patients with increased risk of thromboembolic accidents. To our knowledge this is the first case report of a laparoscopic cholecystectomy during IVF-ET gestation.http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2012;volume=58;issue=4;spage=298;epage=300;aulast=AugustinCholecystitisin vitro fertilizationlaparoscopypregnancytocolysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
G Augustin H Vrcic B Zupancic |
spellingShingle |
G Augustin H Vrcic B Zupancic Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: Report of the first case Journal of Postgraduate Medicine Cholecystitis in vitro fertilization laparoscopy pregnancy tocolysis |
author_facet |
G Augustin H Vrcic B Zupancic |
author_sort |
G Augustin |
title |
Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: Report of the first case |
title_short |
Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: Report of the first case |
title_full |
Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: Report of the first case |
title_fullStr |
Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: Report of the first case |
title_full_unstemmed |
Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: Report of the first case |
title_sort |
laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks′ in vitro fertilization and embryo transfer pregnancy: report of the first case |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Postgraduate Medicine |
issn |
0022-3859 0972-2823 |
publishDate |
2012-01-01 |
description |
The most common casues of acute abdomen during pregnancy are acute appendicitis followed by acute cholecystitis. The case presented is a 33-year-old patient in 16 weeks′ in vitro fertilization and embryo transfer pregnacy who developed acute cholecystitis. Previously there were two unsuccessful cycles, one complicated with ovarian hyperstimulation syndrome. Due to clinical deterioration during intravenous antibiotic therapy laparoscopic cheolecystecomy was performed and acute cholecystitis found. The postoperative course was uneventful. During the first 24 h tocolysis with intravenous fenoterol in addition to peroral atenolol 2 Χ 50 mg was administered. Postoperative course was uneventuful with further normal pregnancy. Elective cesarean section was made in term pregnancy (39 weeks) with singleton with Apgar 10/10. Current guidelines do not recommend prophylactic tocolysis in pregnant population with acute abdomen but there is no mention of the IVF-ET subpopulation of patients. Also, there are no guidelines for thromboprophylaxis in such patients with increased risk of thromboembolic accidents. To our knowledge this is the first case report of a laparoscopic cholecystectomy during IVF-ET gestation. |
topic |
Cholecystitis in vitro fertilization laparoscopy pregnancy tocolysis |
url |
http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2012;volume=58;issue=4;spage=298;epage=300;aulast=Augustin |
work_keys_str_mv |
AT gaugustin laparoscopiccholecystectomyduetoacutecalculouscholecystitisin16weeksinvitrofertilizationandembryotransferpregnancyreportofthefirstcase AT hvrcic laparoscopiccholecystectomyduetoacutecalculouscholecystitisin16weeksinvitrofertilizationandembryotransferpregnancyreportofthefirstcase AT bzupancic laparoscopiccholecystectomyduetoacutecalculouscholecystitisin16weeksinvitrofertilizationandembryotransferpregnancyreportofthefirstcase |
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