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Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik

Year 2011, Volume: 18 Issue: 1, 54 - 56, 01.02.2011

İlkin Yeral Yavuz Şimşek Doğa Seçkin Nuri Danişman

Abstract

Amaç: Spontan siklusta gelişen ve term doğumla sonuçlanan heterotopik gebelik olgusunu sunmak. Olgu: 21 yaşındaki primigravida hasta acil servisimize amenore ,abdominal ağrı ve vajinal kanama şikayetiyle başvurdu.TVUSG'de 8 haftalık intrauterin canlı gebelik ve sol tubal yerleşimli ektopik gebelik gözlendi.Ektopik gebeliğe laparoskopik salpingostomi uygulandı ve intrauterin gebelik sorunsuz bir şekilde terme kadar takip edildi.Sezeryan ile canlı sağlıklı fetus doğurtuldu. Tartışma: Heterotopik gebelik nadir fakat hayati tehlike yaratabilen bir durumdur. Erken gebelikte abdominal ağrı ve vajinal kanama yakınması olan hastalarda heterotopik gebelik ihtimali ayırıcı tanıda düşünülmelidir. Anahtar kelimeler: Heterotopik Gebelik; Adneksiyal Kitle; Ektopik Gebelik.

Keywords

Heterotopik Gebelik; Adneksiyal Kitle; Ektopik Gebelik.

References

  • Bright DA, Gaupp FB. Heterotopic pregnancy: a reevaluation. J Am Board Fam Pract 1990;3:125-8.
  • Kolawole AO, Zayyan MS, Onwuhafua PI.Heterotopic gestation with subsequent live birth in a Jehovah s Witness: a case report. Niger J Clin Pract 2010;13(2):223-4.
  • Berliner I, Mesbah M, Zalud I, Maulik D. Heterotopic triplet pregnancy: report of a case with successful twin intrauterine gestation. J Reprod Med 1998;43:237-9.
  • Goldman G, Fisch B, Ovadia J, Tadir Y. Heterotopic pregnancy after assisted reproductive technologies. Obstet Gynecol Surv 1992;47:217-21.
  • Luo X, Lim CE, Huang C, Wu J, Wong WS, Cheng NC. Heterotopic pregnancy following in vitro fertilization and embryo transfer: 12 cases report. Arch Gynecol Obstet 2009;280(2):325-9.
  • Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive Technologies: a literature review from 1971 to 1993. Fertil Steril 1996;66:1-12.
  • Barrenetxea G, Barinaga-Rementeria L, Lopez de Larruzea A, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: two cases and a comparative review. Fertil Steril 2007;87(2):417.
  • Ocal P, Erkan S, Cepni I, Idil MH. Transvaginal ultrasound- guided aspiration and instillation of hyperosmolar glucose for treatment of unruptured tubal heterotopic pregnancy. Arch Gynecol Obstet 2007;276(3):281-3.
  • Lukaszuk K, Nakonieczny M, Wójcik D, Liss J, Preis K, Emerich J. Heterotopic pregnancy after in vitro fertilization. Przegl Lek 2006;63(4):239-41.

Spontaneous Heterotopic Pregnancy with Term Delivery of a Live Infant

Year 2011, Volume: 18 Issue: 1, 54 - 56, 01.02.2011

İlkin Yeral Yavuz Şimşek Doğa Seçkin Nuri Danişman

Abstract

Objective: The aim of this report is to present a case of heterotopic pregnancy occurring in spontaneous cycle and ended up in term delivery. Case: A 21 year-old primigravida admitted to the emergency clinic with the complaints of amenorrhea, abdominal pain and vaginal bleeding. Transvaginal ultrasound scan showed an 8 weeks old live intrauterine pregnancy and a left tubal ectopic pregnancy. Laparoscopic salpingostomy was performed for ectopic pregnancy and intrauterine pregnancy was continued. The follow-up of the pregnancy was uneventful. A live healthy fetus was delivered by cesarean section at term. Conclusion: Spontaneous heterotopic pregnancy is a rare but life threatening condition and always must be considered in the differential diagnosis of patients with abdominal pain and vaginal bleeding during early pregnancy. Key words: Heterotopic Gestation; Adnexial Mass; Ectopic Pregnancy.

Keywords

Heterotopic Gestation; Adnexial Mass; Ectopic Pregnancy.

References

  • Bright DA, Gaupp FB. Heterotopic pregnancy: a reevaluation. J Am Board Fam Pract 1990;3:125-8.
  • Kolawole AO, Zayyan MS, Onwuhafua PI.Heterotopic gestation with subsequent live birth in a Jehovah s Witness: a case report. Niger J Clin Pract 2010;13(2):223-4.
  • Berliner I, Mesbah M, Zalud I, Maulik D. Heterotopic triplet pregnancy: report of a case with successful twin intrauterine gestation. J Reprod Med 1998;43:237-9.
  • Goldman G, Fisch B, Ovadia J, Tadir Y. Heterotopic pregnancy after assisted reproductive technologies. Obstet Gynecol Surv 1992;47:217-21.
  • Luo X, Lim CE, Huang C, Wu J, Wong WS, Cheng NC. Heterotopic pregnancy following in vitro fertilization and embryo transfer: 12 cases report. Arch Gynecol Obstet 2009;280(2):325-9.
  • Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive Technologies: a literature review from 1971 to 1993. Fertil Steril 1996;66:1-12.
  • Barrenetxea G, Barinaga-Rementeria L, Lopez de Larruzea A, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: two cases and a comparative review. Fertil Steril 2007;87(2):417.
  • Ocal P, Erkan S, Cepni I, Idil MH. Transvaginal ultrasound- guided aspiration and instillation of hyperosmolar glucose for treatment of unruptured tubal heterotopic pregnancy. Arch Gynecol Obstet 2007;276(3):281-3.
  • Lukaszuk K, Nakonieczny M, Wójcik D, Liss J, Preis K, Emerich J. Heterotopic pregnancy after in vitro fertilization. Przegl Lek 2006;63(4):239-41.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

İlkin Yeral This is me

Yavuz Şimşek This is me

Doğa Seçkin This is me

Nuri Danişman This is me

Publication Date February 1, 2011
Published in Issue Year 2011 Volume: 18 Issue: 1

Cite

APA Yeral, İ., Şimşek, Y., Seçkin, D., Danişman, N. (2011). Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik. Journal of Turgut Ozal Medical Center, 18(1), 54-56.
AMA Yeral İ, Şimşek Y, Seçkin D, Danişman N. Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik. J Turgut Ozal Med Cent. February 2011;18(1):54-56.
Chicago Yeral, İlkin, Yavuz Şimşek, Doğa Seçkin, and Nuri Danişman. “Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik”. Journal of Turgut Ozal Medical Center 18, no. 1 (February 2011): 54-56.
EndNote Yeral İ, Şimşek Y, Seçkin D, Danişman N (February 1, 2011) Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik. Journal of Turgut Ozal Medical Center 18 1 54–56.
IEEE İ. Yeral, Y. Şimşek, D. Seçkin, and N. Danişman, “Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik”, J Turgut Ozal Med Cent, vol. 18, no. 1, pp. 54–56, 2011.
ISNAD Yeral, İlkin et al. “Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik”. Journal of Turgut Ozal Medical Center 18/1 (February 2011), 54-56.
JAMA Yeral İ, Şimşek Y, Seçkin D, Danişman N. Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik. J Turgut Ozal Med Cent. 2011;18:54–56.
MLA Yeral, İlkin et al. “Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik”. Journal of Turgut Ozal Medical Center, vol. 18, no. 1, 2011, pp. 54-56.
Vancouver Yeral İ, Şimşek Y, Seçkin D, Danişman N. Termde Canlı Doğumla Sonuçlanan Spontan Heterotopik Gebelik. J Turgut Ozal Med Cent. 2011;18(1):54-6.