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 CASE REPORT
Year : 2012  |  Volume : 58  |  Issue : 4  |  Page : 298-300

Laparoscopic cholecystectomy due to acute calculouscholecystitis in 16 weeks' in vitro fertilization and embryo transfer pregnancy: Report of the first case


1 Department of Surgery, University Hospital Center Zagreb, Kišpaticeva 12, Croatia
2 Department of Obstetrics and Gynecology, University Hospital Center Zagreb, Kišpaticeva 12, Croatia
3 Department of Pediatric Surgery, Clinical Hospital Center Sisters of Charity, Klaiceva 16, Zagreb, Croatia

Correspondence Address:
G Augustin
Department of Surgery, University Hospital Center Zagreb, Kišpaticeva 12
Croatia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.105455

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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.






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Online since 12th February '04
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