On Üçüncü Gebelik Haftasında Ovaryan Gebelik: Bir Olgu Sunumu

Year 2013, Volume: 20 Issue: 1, 71 - 73, 01.02.2013

Oktay Kaymak Yavuz Şimşek Şevki Çelen Serkan Kahyaoğlu Hakan Timur Nuri Danışman

Abstract

Ovaryan gebelik, gestasyonel kesenin over içerisine implante olduğu nadir bir ektopik gebelik türüdür. Tüm ektopik gebelikler içerisinde %0.5-3 oranında görülür. Sıklıkla tanı ya ilk trimester rutin ultrasonografisi sırasında ya da akut abdominal ağrı nedeni ile yapılan cerrahi girişimde konur. Biz bu vakada herhangi bir risk faktörü olmayan 13 haftalık ovaryan gebelik sunduk. Transvajinal ultrasonografik taramada sol ovaryan bölgede baş-popo mesafesi (CRL): 67 mm (13 hafta) canlı bir fetüs saptandı. Laparotomi esnasında içinde 13 haftalık fetüs içeren ruptüre over görüldü. Peroperatif 2 ünite taze kan transfüzyonu ile beraber sol ooforektomi yapıldı. Acil laparotomi ve eşzamanlı ooforektomi gibi cerrahi girişimleri gerektirebilen nadir bir klinik durum olarak ovaryan gebelik olasılığı daima akılda tutulmalıdır. Anahtar kelimeler: Ektopik Gebelik; Ovaryan Gebelik; Karın Ağrısı.

Keywords

Ektopik Gebelik; Ovaryan Gebelik; Karın Ağrısı.

Ovarian Pregnancy at the 13th Weeks of Gestation: A Case Report

Abstract

Ovarian pregnancy is a rare form of ectopic pregnancy in which the gestational sac is implanted within the ovary. The incidence is 0.5 to 3% of all ectopic gestations. Mostly diagnoses are made by the first trimester routine ultrasonography or during the operation for acute abdominal pain. In this case report, we present a 13 weeks spontaneous ovarian gestation who had no risks of ectopic pregnancy. On the transvaginal sonographic scan, an alive fetus with a crown-rump length measured 67 mm (13 weeks) was detected in the left ovarian region. A ruptured ovary which contained a fetus of 13 weeks gestation was observed during laparotomy. A left oophorectomy was performed with the transfusion of two units of fresh blood peroperatively. The possibility of ovarian pregnancy should always be kept in mind that emergent laparotomy with concurrent oophorectomy can be necessary surgical interventions for this rare clinical condition. Key words: Ectopic Pregnancy; Ovarian Pregnancy; Abdominal Pain.

Keywords

Ectopic Pregnancy; Ovarian Pregnancy; Abdominal Pain.

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