Three consecutive recurrent ectopic pregnancies: a case report

Yıl 2013, Cilt: 2 Sayı: 4, 161 - 164, 26.03.2014

Çağlar Yıldız , Savaş Karakuş Özlem Akkar , Hidayet Yeniocak Meral Çetin

Öz

Abstract

Ectopic pregnancy is a life-threatening pregnancy complication occurring in approximately 2% of all pregnancies. Combination of ultrasonographic findings, consecutive levels of human chorionic gonadotrophin, and also clinical suspicion are important for diagnosis. The rate of recurrence rises in patients with a history of previous ectopic pregnancy. Expectant management and surgical or medical treatment are the options for ectopic pregnancy. We presented here a case that had three times of consecutive recurrent ectopic pregnancy with the literature review.

Keywords: Ectopic pregnancy, recurrent, methotrexate

Özet

Ektopik gebelik, tüm gebeliklerin yaklaşık %2’sinde görülür ve yaşamı tehdit eden bir gebelik komplikasyonudur. Ultrasonografi bulguları, ardışık serum insan koryonik gonadotropin ölçümleri ve tabiki klinik şüphenin birlikteliği tanı için önemlidir. Ektopik gebelik hikayesi olan hastalarda tekrarlama oranı artmaktadır. Bekleme tedavisi ve cerrahi veya ilaç tedavisi ektopik gebelik için tedavi seçenekleridir. Üç kez ardışık olarak tekrarlayan ektopik gebelik olgusunu literatür taraması eşliğinde sunduk.

Anahtar sözcükler: Ektopik gebelik, tekrarlayan, metotreksat

Anahtar Kelimeler

Ectopic pregnancy, recurrent, methotrexate

Kaynakça

• References
• Liu YL, Hwang KS, Chu PW, Ding DC. Recurrent ectopic pregnancy in the ipsilateral oviduct after prior laparoscopic partial salpingectomy. Taiwan J Obstet Gynecol. 2009 Dec;48(4):417-9.
• Chang FW, Chen CH, Liu JY. Early diagnosis of ovarian pregnancy by ultrasound. Int J Gynaecol Obstet 2004;85:186–7.
• Department of Health. Why Mothers Die. The Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1997-1999. London: HMSO, 2001.
• Farquhar CM. Ectopic pregnancy. Lancet 2005;366:583–91.
• 2.Centers for Disease Control and Prevention (CDC). Ectopic pregnancy--United States, 1990-1992. MMWR Morb Mortal Wkly Rep 1995; 44:46.
• Fylstra DL. Tubal pregnancy: a review of current diagnosis and treatment. Obstet Gynecol Surv 1998; 53:320.
• Pisarska MD, Carson SA. Incidence and risk factors for ectopic pregnancy. Clin Obstet Gynecol 1999;42:2–8; quiz 55–6.
• Ankum WM, Mol BW, Van der Veen F, Bossuyt PM. Risk factors for ectopic pregnancy: a meta-analysis. Fertil Steril 1996; 65:1093.
• Chen CH, Lee WL, Chiu LH, Sun HD, Liu WM, Wang PH. A cohort study to evaluate the effectiveness of laparoscopic-guided local injection of etoposide in the management of women with unruptured tubal pregnancy. Fertil Steril 2011;96:654e8.
• Practice Committee of the American Society for Reproductive Medicine. Medical treatment of ectopic pregnancy. Fertil Steril 2006; 86:S96.
• Medical management of ectopic pregnancy. ACOG Practice Bulletin #94. American College of Obstetricians and Gynecologists, 2008.
• Farquhar CM. Ectopic pregnancy. Lancet 2005; 366:583.
• Yao M, Tulandi T. Current status of surgical and nonsurgical management of ectopic pregnancy. Fertil Steril 1997; 67:421.
• Ego A, Subtil D, Cosson M, et al. Survival analysis of fertility after ectopic pregnancy. Fertil Steril 2001; 75:560.
• Gervaise A, Masson L, de Tayrac R, et al. Reproductive outcome after methotrexate treatment of tubal pregnancies. Fertil Steril 2004; 82:304.
• Tulandi T. Reproductive performance of women after two tubal ectopic pregnancies. Fertil Steril 1988; 50:164.