Journal List > Korean J Obstet Gynecol > v.54(9) > 1088335

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Lim, Kim, Kim, Kwon, Shim, Kim, Chae, Kim, and Kang: A case of successful pregnancy by intrauterine insemination following isthmic dilatation due to isthmic stenosis after laparoscopic radical trachelectomy
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(9): 553-556.

Published online: 26 September 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.9.553

A case of successful pregnancy by intrauterine insemination following isthmic dilatation due to isthmic stenosis after laparoscopic radical trachelectomy

You-Jin Lim, MD, Chung-Hoon Kim, MD, Joo-Yuen Kim, MD, Su-Kyoung Kwon, MD, Jae Yoon Shim, MD, Sung-Hun Kim, MD, Hee-Dong Chae, MD, Yong Man Kim, MD, Byung-Moon Kang, MD

Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Corresponding author: Chung-Hoon Kim, MD. Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-dong, Songpa-gu, Seoul 138-736, Korea. Tel: +82-2-3010-1820, Fax: +82-2-3010-6944, chnkim@amc.seoul.kr

Received 19 May 2011       Revised 4 July 2011       Accepted 8 July 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Uterine cervical cancer is one of the most common malignant disease in women. For young patients with early stage cervical cancer who want to preserve their fertility, radical trachelectomy is a promising fertility-sparing treatment in well-selected group of patients. However, isthmic stenosis is reported to occur in 15% of patients who received radical trachelectomy. Isthmic stenosis is one of causes of infertility following radical trachelectomy. In addition patients who underwent radical trachelectomy are at high risk of obstetric complications including preterm labor, premature rupture of membrane and preterm delivery. Herein we report a case of successful pregnancy and childbirth by intrauterine insemination following isthmic dilatation due to isthmic stenosis after laparoscopic trachelectomy with a brief review of the literature.

Keywords: Cervical cancer, Laparoscopic radical trachelectomy, Isthmic stenosis, Isthmic dilatation

Figures and Tables

Fig. 1
Cervix specimen after radical trachelectomy.
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Fig. 2
Diagram of isthmic opening location after radical trachelectomy.
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Fig. 3
Catheter which was used for isthmic dilatation.
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