A rare cause of hematuria, intravesical ectopic pregnancy; case report

Year 2022, Volume: 17 Issue: 3, 196 - 199, 27.10.2022

Adem Tunçekin , Adnan İncebıyık , Mehmet Demir , İsmail Yağmur , Eyyup Sabri Pelit , Bülent Katı , Halil Çiftçi

https://doi.org/10.33719/yud.2022;17-3-1058394

Abstract

Intravesical ectopic pregnancy is a very rare condition. Unlike traditional ectopic pregnancies, patients generally present with hematuria.
Our case presented with abdominal pain and urinary bleeding. Abdominal tenderness was observed on physical examination. The ß-HCG was measured as 10033 IU / ml. In ultrasonography, an appearance compatible with a vesicouterine fistula tract and an ectopic gestational sac in the bladder were observed. In cystoscopy, a mass compatible with a fistula tract ostium and ectopic gestational sac was observed at the junction of the right side of the bladder and the posterior wall. The observed structure was resected and cauterized to achieve hemostasis. No complications were observed during the follow-up, and the patient was discharged.
Ectopic pregnancy should be one of the differential diagnosis of patients with a history of pelvic surgery who present with complaints of menstrual delay and hematuria.

Keywords

vesical pregnancy , vesicouterine fistula , hematuria

Hematürinin nadir bir nedeni intravezikal ektopik gebelik; olgu sunumu

Abstract

İntravezikal ektopik gebelik çok nadir görülen bir durumdur. Hastalar geleneksel ektopik gebeliklerden farklı olarak genellikle hematüri ile başvururlar.
Olgumuz 22 yaşında olup karın ağrısı ve idrarda kanama şikayeti ile başvurdu. Fizik muayenede abdominal hassasiyeti gözlendi. ß-HCG 10033 IU/ml olarak ölçüldü. Ultrasonografide vezikouterin fistül traktı ve mesanede dış gebelik kesesi ile uyumlu görünüm izlendi. Sistoskopide mesane sağ yan ile posterior duvar birleşiminde fistül traktı ostiumu ve ektopik gebelik kesesi ile uyumlu kitle görüldü. Gözlenen yapı rezeke edildi ve koterize edilerek hemostaz sağlandı. Takiplerinde komplikasyon gözlenmeyen hasta eksterne edildi.
Pelvik cerrahi öyküsü olan, adet gecikmesi ve hematüri şikâyeti ile başvuran hastalarda ayırıcı tanıda ektopik gebelik akılda tutulması gereken tanılardan biri olmalıdır.

Keywords

vezikal gebelik , vezikouterin fistül , hematüri

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