臨床婦人科産科74巻6号

2020年06月発行

今月の臨床 外来でみる子宮内膜症診療―患者特性に応じた管理・投薬のコツ

ライフステージに応じた患者への対応

妊産婦が子宮内膜症をもつ場合に留意すべき産科合併症とは？

著者： 田中博明¹ 田中佳世¹ 池田智明¹

所属機関： ¹三重大学医学部産科婦人科

ページ範囲：P.584 - P.588

文献概要

●子宮内膜症は，前置胎盤，産褥出血，早産，前置胎盤，帝王切開，small for gestational age，妊娠高血圧症候群などの産科合併症の危険因子である可能性がある．

●子宮内膜症は妊娠中に，腹腔内出血，消化管穿孔，uroperitoneum，子宮内膜症性卵巣囊胞破裂を稀であるが合併することがある．

参考文献

1）Gabbay-Benziv R, et al : Gestational diabetes as one of the ”great obstetrical syndromes”--the maternal, placental, and fetal dialog. Best Pract Res Clin Obstet Gynaecol 29 : 150-155, 2015

2）Saraswat L, et al : Pregnancy outcomes in women with endometriosis : a national record linkage study. BJOG 124 : 444-452, 2017

3）Chen I, et al : Association between surgically diagnosed endometriosis and adverse pregnancy outcomes. Fertil Steril 109 : 142-147, 2018

4）Zullo F, et al : Endometriosis and obstetrics complications : a systematic review and meta-analysis. Fertil Steril 108 : 667-672, 2017

5）Fujii T, et al : Assisted reproductive technology pregnancy complications are significantly associated with endometriosis severity before conception : a retrospective cohort study. Reprod Biol Endocrinol 14 : 73, 2016

6）Williams JW : Intrapelvic hematoma following labor not associated with lesions of the uterus. Am J Obstet 50 : 442-455, 1904

7）Hodgkinson CP, et al : Hemorrhage from ruptured utero-ovarian veins during pregnancy ; report of 3 cases and review of the literature. Am J Obstet Gynecol 59 : 1112-1117, 1950

8）Ginsburg KA, et al : Spontaneous utero-ovarian vessel rupture during pregnancy : three case reports and a review of the literature. Obstet Gynecol 69 : 474-476, 1987

9）Brosens IA, et al : Endometriosis is a risk factor for spontaneous hemoperitoneum during pregnancy. Fertil Steril 9 : 1243-1245, 2009

10）Boileau L, et al : Pelviperitonitis by colorectal perforation in the third trimester of pregnancy after surgery for deep pelvic endometriosis. Fertil Steril 96 : e42-e44, 2011

11）Nishikawa A, et al : Ileal perforation and massive intestinal haemorrhage from endometriosis in pregnancy : case report and literature review. Eur J Obstet Gynecol Reprod Biol 170 : 20-24, 2013

12）Setubal A, et al : Bowel complications of deep endometriosis during pregnancy or in vitro fertilization. Fertil Steril 101 : 442-446, 2014

13）Sriganeshan V, et al : Colouterine fistula secondary to endometriosis with associated chorioamnionitis. Obstet Gynecol 107 : 451-453, 2006

14）Leone Roberti Maggiore U, et al : Obstetrical complications of endometriosis, particularly deep endometriosis. Fertil Steril 108 : 895-912, 2017

15）Bailleux M, et al : Ovarian endometriosis during pregnancy : a series of 53 endometriomas. Eur J Obstet Gynecol Reprod Biol 209 : 100-104, 2017

16）Chiodo I, et al : Urohemoperitoneum during pregnancy with consequent fetal death in a patient with deep endometriosis. J Minim Invasive Gynecol 15 : 202-204, 2008

17）Leone Roberti Maggiore U, et al : Spontaneous uroperitoneum and preterm delivery in a patient with bladder endometriosis. J Minim Invasive Gynecol 22 : 701-702, 2015