First case of twin pregnancy after vaginal radical trachelectomy in a Japanese woman

Author Info

Akari Kawamata Masahito Mizuuchi Miyuki Morishita Shinichi Ishioka Takafumi Kuroda Tasuku Mariya Tsuyoshi Baba Tsuyoshi Saito Yuko Mizugaki Yuya Fujibe

Corresponding Author

Shinichi Ishioka
Department of Obstetrics and Gynecology, Sapporo Medical University

A B S T R A C T

Twin pregnancy after radical trachelectomy (RT) for uterine cervical cancer involves an extremely high risk of preterm premature rupture of the membrane (pPROM) and the following occurrence of preterm birth. Herein we report the first case of twin pregnancy after vaginal RT in a Japanese woman. The patient was a 36-year-old nulliparous woman. She became pregnant with twins one year after vaginal RT with laparoscopic lymphadenectomy and the following treatment with the use of in vitro fertilization/embryo transfer. Her pregnancy course was favorable with vaginal disinfection, bed rest, and administration of progesterone, ritodrine, and an ulinastatin vaginal suppository. At 31 weeks + 4 days of pregnancy, a scheduled cesarean section was performed. One baby weighed 1000g, with Apgar scores of 7/8, and the other 1100g, with Apgar scores of 8/9. Her postpartum course was also favorable. The mother remains without evidence of recurrence of the cancer at the time of this report.

Article Info

Article Type

Case Report

Publication history

Received: Mon 03, Dec 2018
Accepted: Wed 19, Dec 2018
Published: Sun 30, Dec 2018

Copyright

© 2023 Shinichi Ishioka. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2018.03.026