Unilateral Spontan Canlı İkiz Ektopik Gebelik Olgusu

Year 2024, Volume: 3 Issue: 3, 136 - 139, 23.09.2024

Mehmet Onur Arslaner , Firangiz Mirzazada , Mehmet Ferdi Kıncı , Begüm Köse , Yaşam Akpak , Ahmet Akın Sivaslıoğlu

https://doi.org/10.57221/izmirtip.1392299

Abstract

Amaç: Ektopik gebelik (EG); fertilize ovumun endometriyal kavite dışında bir alana yerleşmesidir. Tek taraflı ikiz EG ise nadir görülen bir durumdur. Yaklaşık olarak her 200 EG’den birinde ve her 125000 spontan gebelikte bir ortaya çıktığı tahmin edilmektedir.
Olgu: 40 yaşında, adet gecikmesi, karın ağrısı ve vajinal kanama şikayeti ile kliniğimize başvurun, ardından ikiz EG tanısı konulan hastanın tanı ve tedavi sürecini sunduk.
Sonuç: EG, ilk trimestrda görülen ölümlerin en önemli nedenidir. Bu risk ikiz EG’de artmaktadır. Bu sebeple zamanında tanı konulması ve uygun tedavi seçeneğinin yapılması oldukça önemlidir. Özellikle birinci trimestr’de olan gebeliklerde anamnez, laboratuar, TA ve TV USG değerlendirmesi yapılmalıdır.

Keywords

Ektopik gebelik, İkiz gebelik, Laparoskopik Cerrahi

A Case of Unilateral Spontaneous Live Twin Ectopic Pregnancy

Abstract

Aim: Ectopic pregnancy (EP) is the placement of the fertilized ovum in an area other than the endometrial cavity. A one-sided twin EP, on the other hand, is a rare case. It is estimated to occur in approximately 1 in 200 EPs and 1 in 125,000 spontaneous pregnancies.
Materials and methods: In this case, we presented the diagnosis and treatment process of a 40-year-old patient who applied to our clinic with complaints of delayed menstruation, abdominal pain and vaginal bleeding, and then diagnosed with twin EP.
Results, conclusion: EP is the most important cause of death in the first trimester. This risk increases in twin EP. Therefore, timely diagnosis and appropriate treatment options are critical. Especially in pregnancies in the first trimester, anamnesis, laboratory, TA and TV USG evaluation should be performed.

Keywords

Ectopic pregnancy, Twin pregnancy, Laparoscopic surgery

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