Conception by IVF-ET after 4 previous laparotomies,requiring
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Case
A 35-year-old patient with a height of 150 cm and non-pregnant body weight of 47 kg presented to our hospital. Her past medical history included surgery for megacolon at 1 year of age, left adnexectomy and adhesiolysis for left pyosalpinx (postoperative intestinal obstruction) at 17 years, right ovarian cystectomy and adhesiolysis of the right ovarian tumor at 19 years, tubectomy, drainage of right pyosalpinx, and myomectomy for uterine myoma at 32 years. Due to the patient’s desire to maintain fertility, she was examined at our hospital and conceived following IVF-ET. No remarkable abnormalities were observed in blood pressure or blood test results before or during the early stages of pregnancy. The patient underwent prenatal examinations at our hospital during the early stages of pregnancy.

At 19 weeks, she developed edema, with a blood pressure of 150/97 mmHg and a 5-kg weight gain in 2 weeks. The patient was admitted and prescribed bed rest and dietary therapy. At the time of admission, no remarkable abnormalities were observed in blood test results. Urinary protein and antinuclear antibody tests were negative. Urinary vanillylmandelic acid, aldosterone, and renin activity were within normal ranges. Blood pressure decreased as a result of bed rest and dietary therapy alone, and with a decrease in the edema, the patient was discharged at 21 weeks....

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