title: Management of missed abortion in a patient with congenital cervical atresia.
abstract: OBJECTIVE
  To describe a patient with congenital cervical atresia who became pregnant through IVF and thawed transmyometrial ET and then experienced a missed abortion.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A patient with congenital cervical atresia who underwent reconstructive surgery at 23 years of age and underwent IVF twice at 28 and 30 years of age.
  
  
  METHODS
  Abortion management.
  
  
  METHODS
  Medical follow-up of IVF-ET, resultant pregnancy, and abortion.
  
  
  RESULTS
  After the second cycle of IVF with frozen-thawed transmyometrial ET, the patient became pregnant but then experienced a missed abortion. Serum beta-hCG levels decreased, the two gestational sacs disappeared, and genital bleeding without signs of infection occurred 14 weeks after diagnosis of the abortion. The abortion was managed conservatively.
  
  
  CONCLUSIONS
  When assisted reproductive techniques are used in patients with congenital cervical atresia, the risks (including those relating to the management of an abortion) should be explained in detail to the couple and sufficient informed consent should be obtained before starting IVF-ET procedures.
authors: Infertility Center, Toyohashi Municipal Hospital, Toyohashi, Japan. ivf@municipal-hospital.toyohashi.aishi.jp
authors: Nobuhiko
authors: N
authors: Suganuma
authors: Madoka
authors: M
authors: Furuhashi
authors: Takayuki
authors: T
authors: Moriwaki
authors: Shin ichiro
authors: Si
authors: Tsukahara
authors: Tomoko
authors: T
authors: Ando
authors: Yutaka
authors: Y
authors: Ishihara
mesh_terms: D000030:Abortion, Missed / Q000097:blood / Q000150:complications* / Q000628:therapy*; D000293:Adolescent; D002584:Cervix Uteri / Q000002:abnormalities*; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human