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Management Of A 12-Week Interstitial Pregnancy

Year 2013, Volume: 10 Issue: 37, 1561 - 1563, 01.01.2013

Abstract

Interstitial pregnancy cornial is a rare kind of extra-tubal ectopic pregnancy. Morbidity of this kind of ectopic has been decreasing in recent years with respect to the fertility sparing techniques and minimal invasive surgeries. In this case report, a 31 year-old women presented to the emergency department with severe abdominal pain, minimal vaginal bleeding and passed last menstrual period. After diagnostic examinations, a 12 gestational week cornual pregnancy was diagnosed. During laparotomy, pregnancy materials in the corneal region was collected via primary incision and closed with again primary suturing technique. Early complications did not occurred. Uterus sparing techniques in cornual pregnancies have been developed which are very important for the future fertility.

References

  • 1. John M. Managhan (ed.) 2004 Bonney's Gynaecological Surgery,10th ed. Blackwell, Madlen, USA.
  • 2. Lau S, Tulandi T. Conservative and surgical management of interstitial ectopic pregnancy. Fertil Steril 1999; 72: 207-15.
  • 3. Advincula AP, Senepati S. Interstitial pregnancy. Fertil Steril 2004; 82(6): 1660-61.
  • 4. Rock JA, Thompson JP. Management of interstitial (cornual) pregnancy in 17's week gestation:conservation of a ruptured uterus. J Obstet Gynaecol 2005; 25(7): 722-23.
  • 5. Donnez J (ed). 2007 Atlas of Operative Laparoscopy and Hysterescopy, 3rd edn. Informa, UK.
  • 6. Felmus LB, Pedowits P. Interstitial pregnancy:A survey of 45 cases. Am J Obstet Gynecol 1953; 66: 1271-79.
  • 7. Ackerman TE, Levi CS, Deshefsky SM, Halt SC, Lindsay D. Intertitial line:sonographic finding in interstitial (cornual) ectopic pregnancy. Radiol 1993; 189: 83-87.

12 Haftalık İnterstisiyel Gebelikte Yaklaşım

Year 2013, Volume: 10 Issue: 37, 1561 - 1563, 01.01.2013

Abstract

Ekstra-tubal gebelikler içinde, interstisyel kornual gebelik, oldukça nadir görülür. Son yıllarda, uterusu koruyucu ve minimal cerrahi yaklaşımlarla, morbiditesi oldukça azalmıştır. 31 yaşında, şiddetli karın ağrısı, vajinal kanama ve adet gecikmesi şikayetleri ile başvuran hasta, tanısal değerlendirmeler sonrası 12 gestasyonel haftalık kornual gebelik tanısı aldı. Hasta, laparatomiye alındı, kornual bölgeden yapılan insizyon ile gebelik materyali boşaltıldı ve primer suture edildi. Erken komplikasyon gelişmedi.Kornual gebeliklerde, histerektomiye alternatif yöntemler gelişmiştir. Başta uterus olmak üzere, organ koruyucu yaklaşımlar, fertilite devamlılığı açısından önemlidir.

References

  • 1. John M. Managhan (ed.) 2004 Bonney's Gynaecological Surgery,10th ed. Blackwell, Madlen, USA.
  • 2. Lau S, Tulandi T. Conservative and surgical management of interstitial ectopic pregnancy. Fertil Steril 1999; 72: 207-15.
  • 3. Advincula AP, Senepati S. Interstitial pregnancy. Fertil Steril 2004; 82(6): 1660-61.
  • 4. Rock JA, Thompson JP. Management of interstitial (cornual) pregnancy in 17's week gestation:conservation of a ruptured uterus. J Obstet Gynaecol 2005; 25(7): 722-23.
  • 5. Donnez J (ed). 2007 Atlas of Operative Laparoscopy and Hysterescopy, 3rd edn. Informa, UK.
  • 6. Felmus LB, Pedowits P. Interstitial pregnancy:A survey of 45 cases. Am J Obstet Gynecol 1953; 66: 1271-79.
  • 7. Ackerman TE, Levi CS, Deshefsky SM, Halt SC, Lindsay D. Intertitial line:sonographic finding in interstitial (cornual) ectopic pregnancy. Radiol 1993; 189: 83-87.
There are 7 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Özlem Gün Eryılmaz This is me

Selen Taflan Yaman This is me

Serra Akar This is me

Hüseyin Yeşilyurt This is me

Gülnur Özakşıt This is me

Publication Date January 1, 2013
Published in Issue Year 2013 Volume: 10 Issue: 37

Cite

Vancouver Gün Eryılmaz Ö, Taflan Yaman S, Akar S, Yeşilyurt H, Özakşıt G. 12 Haftalık İnterstisiyel Gebelikte Yaklaşım. JGON. 2013;10(37):1561-3.