Case Report
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Two Treatment Methods in Two Cases of Cornual Pregnancy

Year 2020, Volume: 12 Issue: 2, 63 - 66, 30.08.2020
https://doi.org/10.35514/mtd.2020.31

Abstract

Ectopic pregnancy, in which the gestational sac is outside the uterine cavity, is the most common life-threatening emergency in early pregnancy. Interstitial ectopic pregnancy defined as the ectopic gestation developing in the uterine part of the fallopian tube is rare, occuring in 2-4% of all ectopic pregnancies. It tends to rupture at a more advanced stage of gestation compared to tubal ectopic pregnancy; and when ruptured, hemorrhage is usually profound. The maternal mortality rate of ruptured interstitial pregnancy is 2-5 times higher than that of tubal ectopic pregnancy. Early diagnosis and treatment of interstitial ectopic pregnancy is particularly important because of the high morbidity associated with its rupture. As two examples of the management of cornual pregnancy; medical treatment was performed in one patient and surgical treatment was done in the other patient, both were examined in the light of literature.

References

  • 1. Berg CJ, Chang J, Calloghan WM, Whitehead SJ. Pregnancy related mortality in the United States, 1991 - 1997. Obstet Gynecol 2003;101: 289-296.
  • 2. Lau S, julandi T. Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril 1999; 72: 207-215.
  • 3. Fisch JD, Ortiz B, Tazuke S, Chitkara U, Giudice L. Medical management of interstitial ectopic pregnancy: a case report and literature review. Hum Reprod 1998;13(7):1981-6. http://dx.doi.org/10.1093/humrep/13.7.1981
  • 4. Luciano AA, Roy G, Solima E. Ectopic pregnancy from surgical emergency to medical management. Ann N Y Acad Sci 2001;943: 235-254.
  • 5. Tanaka T, Hayashi H, Fujimoto S, Ichinoe K. Treatment of interstitial ectopic pregnancy with methotrexate: report of a successful case. Fertil Steril 1982;37(6): 851-852.
  • 6. Yıldırım G, Güngördük K, Aktaş FN, Ülker V, Sudolmuş S, Tekirdağ Aİ. Single dose methotrexate in treatment of ectopic pregnancy: Review of 85 cases. J Turk Soc Obstet Gynecol 2007;4(1): 68-71.
  • 7. Rostegi R, Micro GL, Rostegi N. Interstitial ectopic pregnancy: A rare and difficult clinicosonographic diagnosis. J Hum Reprod Sci 2008; 1: 81-82. http://dx.doi.org/10.4103/0974-1208.44116
  • 8. Ateşalp F, Erhan G, Bozkurt S, Köten M. Bir olgu nedeniyle interstisyel gebelik. İst Tıp Fak Derg 1996;4: 43-46.

Kornual Gebelikte İki Olguda İki Tedavi Yöntemi

Year 2020, Volume: 12 Issue: 2, 63 - 66, 30.08.2020
https://doi.org/10.35514/mtd.2020.31

Abstract

Gestasyonel kesenin uterin kavite dışına yerleşmesi olarak tanımlanan ektopik gebelik,erken gebelik döneminde yaşamı tehdit eden en sık görülen acil durumdur. İnterstisyel ektopik gebelik,ektopik gelişen gebeliğin fallop tüpünün uterin bölümüne yerleşmesi olarak tanımlanır ve tüm ektopik gebeliklerin %2-4 ünü oluşturur. Diğer tubal gebeliklere göre daha ileri gebelik haftalarında rüptür olur ve rüptür olduğunda genellikle aşırı kanama meydana gelir. Rüptüre interstisyel gebeliklerde maternal mortalite riski diğer tubal gebeliklere göre 2-5 kat fazladır. İnterstisyel ektopik gebelikte erken tanı ve tedavi, rüptüre bağlı morbidite çok yüksek olduğundan dolayı çok önemlidir. Kornual gebeliğin yönetimine örnek gösterilebilecek nitelikte bir hastaya medikal, diğer hastaya cerrahi tedavi uygulanışı literatür eşliğinde incelendi.

References

  • 1. Berg CJ, Chang J, Calloghan WM, Whitehead SJ. Pregnancy related mortality in the United States, 1991 - 1997. Obstet Gynecol 2003;101: 289-296.
  • 2. Lau S, julandi T. Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril 1999; 72: 207-215.
  • 3. Fisch JD, Ortiz B, Tazuke S, Chitkara U, Giudice L. Medical management of interstitial ectopic pregnancy: a case report and literature review. Hum Reprod 1998;13(7):1981-6. http://dx.doi.org/10.1093/humrep/13.7.1981
  • 4. Luciano AA, Roy G, Solima E. Ectopic pregnancy from surgical emergency to medical management. Ann N Y Acad Sci 2001;943: 235-254.
  • 5. Tanaka T, Hayashi H, Fujimoto S, Ichinoe K. Treatment of interstitial ectopic pregnancy with methotrexate: report of a successful case. Fertil Steril 1982;37(6): 851-852.
  • 6. Yıldırım G, Güngördük K, Aktaş FN, Ülker V, Sudolmuş S, Tekirdağ Aİ. Single dose methotrexate in treatment of ectopic pregnancy: Review of 85 cases. J Turk Soc Obstet Gynecol 2007;4(1): 68-71.
  • 7. Rostegi R, Micro GL, Rostegi N. Interstitial ectopic pregnancy: A rare and difficult clinicosonographic diagnosis. J Hum Reprod Sci 2008; 1: 81-82. http://dx.doi.org/10.4103/0974-1208.44116
  • 8. Ateşalp F, Erhan G, Bozkurt S, Köten M. Bir olgu nedeniyle interstisyel gebelik. İst Tıp Fak Derg 1996;4: 43-46.
There are 8 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Case Report
Authors

Ayhan Atıgan 0000-0002-7257-0593

Soner Gök 0000-0001-8940-1879

Publication Date August 30, 2020
Submission Date June 23, 2020
Published in Issue Year 2020 Volume: 12 Issue: 2

Cite

Vancouver Atıgan A, Gök S. Kornual Gebelikte İki Olguda İki Tedavi Yöntemi. Maltepe tıp derg. 2020;12(2):63-6.