AŞILAMA TEDAVİSİ SONRASI OLUŞAN RÜPTÜRE OLMAMIŞ OVARYAN GEBELİK

Yıl 2019, Cilt: 5 Sayı: 1, 1414 - 1420, 15.04.2019

Nur Dokuzeylül Güngör , Tuğba Gürbüz , Aynur Erşahin Suat Süphan Erşahin Özlem Yapıcıer

https://doi.org/10.30569/adiyamansaglik.482550

Öz

Ovaryan
gebelik, ektopik gebelikler içerisinde oldukça nadir görülür.  Hiçbir şikayeti olmayan, aşılama sonrası gebe
kalan 29 yaşındaki hastamızın, rutin yapılan ilk ultrason kontrolünde sağ tubal
ektopik gebelikten şüphelenildi. Beta-human koryonik gonadotropin düzeyi (10396
mUI/mL) saptanan ve ultrasonografi ile tubal gebelik görülen hasta acil
operasyona alındı. Laparoskopi esnasında sağ ovaryan ektopik gebelik saptandı.
Ovaryan ektopik gebelik materyali over dokusu korunarak laparoskopik eksize
edildi. Patolojik tanı ovaryan ektopik gebelik olarak onaylandı.

Anahtar Kelimeler

Ovaryan gebelik, dış gebelik, aşılama

THE TREATMENT OF UNRUPTURED OVARIAN PREGNANCY (OP) FOLLOWING INTRAUTERINE INSEMINATION (IUI): CASE REPORT

Öz

Ovarian pregnancy (OP) seen quite
rarely in ectopic pregnancy (EP). A 29-year-old multigravid woman came us for
routine first ultrasound (US)  control to
see gestational sac (GS) after IUI. Beta-human chorionic gonadotropin (β hCG)
amount (10396 mUI/mL) and ultrasound outcomes were doubtful for tubal pregnancy
(TP). She has no complaints. Laparoscopy and incision of right ovarian EP were
fulfilled. Ovarian pregnancy were approved histologically.

Anahtar Kelimeler

Ovarian pregnancy, ectopic pregnancy, intrauterin insemination

Kaynakça

• 1. Marcus SM, Brinsden PR. Primary ovarian pregnancy after in vitro fertilization and embryo transfer: report of seven cases. Fertil Steril. 1993;60:167–70.
• 2. Odejinmi F., Rizzuto MI., MacRae R., Olowu O., Hussain M. Diagnosis and laparoscopic management of 12 consecutive cases of ovarian pregnancy and review of literature, Journal of Minimally Invasive Gynecology. 2009;16(3):354-59.
• 3. Spiegelberg O. Zur Cosuistik der Ovarialschwanger schalt, Arch Gynaekol. 1973;13:73-6.
• 4. Birge O., Erkan MM., Ozbey EG., Arslan D. Medical management of an ovarian ectopic pregnancy: a case report, Journal of Medical Case Reports. 2015;9(1):774.
• 5. Goyal LD., Tondon R. , Goel P., Sehgal A. Ovarain ectopic pregnancy: a 10 years experience and review of literature, Iranian Journal of Reproductive Medicine, 2014;12:825-30.
• 6. Comstock C., Huston K. , Lee W., The ultrasonographic appearance of ovarian ectopic pregnancies. Obstetrics & Gynecology 2005;105(1):42-5.
• 7. Gebeh A., Amoako A., Joseph O., Banerjee A. Laparoscopic Surgery for Ovarian Pregnancy using Diathermy Hook with Conservation of Ovary: A Case Report and Literature Review,Journal of Clinical Medicine. 2013;2:214-19.
• 8. Jurkovic D. ,Mavrelos D Ultrasound diagnosis of ectopic pregnancy, Ultrasound in Obstetrics and Gynecology 2007;30(1):1-7.
• 9. Mittal S., Dadhwal V., Baurasi P., Successful medical management of ovarian pregnancy, International Journal of Gynecology and Obstetrics. 2003;80(3):309-10.
• 10. Juan Y.C., Wang P.H., Chen C.H., Ma P.H., Liu W.M., Successful treatment of ovarian pregnancy with laparoscopy assisted local injection of etoposide Fertility and Sterility. 2008;90(4):1200-2.