Delayed diagnosis of a heterotopic pregnancy as a cause of acute abdomen: A case report

Year 2013, Volume: 3 Issue: 3, 207 - 208, 01.09.2013

Fatma Türkan Ayan Bülent Çakmak

Abstract

Introduction: Heterotopic pregnancy is a life threating condition of intrauterine and extrauterine gestations which occur at the same time. We report a delayed diagnosed case of heterotopic pregnancy. Case: A 31 year-old primigravida was referred to our Emergency Gynaecology Service complicated by acute abdomen. She had been treated with clomiphene citrate and on admission intrauterine a missed abortus of about 8 weeks complicated by a large subchorionic hematoma was detected. Emergency laparotomy was performed because of diffuse intra-abdominal haemorrhage. A right-sided ectopic focus was recognized and excised, and dilatation - curettage was performed. Coclusion: Delay in diagnosing the condition can be fatal to both the mother and the intrauterine fetus.

Keywords

Heterotopic pregnancy, delayed diagnosis, acute abdomen

Geç Tanı Almış Akut Batına Neden Olan Heterotropik Gebelik: Olgu Sunumu

Abstract

Heterotropik gebelik, intrauterine ve ekstrauterin gebeliğin bir arada olduğu hayatı tehdit eden bir durumdur. Bu yazıda tanısı geç konulmuş bir heterotropik gebelik olgusu sunulmuştur. 31 yaşında ilk gebeliği olan hasta akut batın nedeniyle acil servise başvurdu. Klomifen sitrat ile ovulasyon indüksiyonu sonrası oluşan missed abortus ve geniş subkoryonik hematom alanı ile komplike 8 hafta ile uyumlu gebelik mevcuttu. Hastaya yaygın intraabdominal kanaması olması sebebiyle acil laparotomi uygulandı. Sağ tuba yerleşimli rüptüre ektopik gebelik izlenmiş olup ektopik gebelik eksizyonu ve dilatasyon küretaj uygulandı. Heterotropik gebelikte geç tanı konulması maternal ve intrauterine yerleşimli fetus için fatal seyirli olabilir.

Keywords

Heterotropik gebelik, gecikmiş tanı, akut karın

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