Öz
Sezaryen skarına implante olan gebelik, hayati tehlike içerebilen ve artan sezeryan oranı ile sıklığı artan, nadir bir klinik durumdur. Erken tanı ve tedavi bu hastalarda fer­tilitenin korunması ile beraber hayat kurtarıcı olabilmek­tedir. Transvajinal ultrasonografide uterin kavitenin boş olması ve servikal kavite varlığı ile anterior istmik bölgede myometrial devamlılığın olmaması ve gebelik ürünün bu bölgeye yerleştiğinin görülmesi tanıyı akla getirmelidir. Bu yazıda skar ektopik gebeliği saptanan hastayı literatür eş­liğinde sunmayı amaçladık.
Anahtar Kelimeler
Kaynakça
- Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy: Issues in management. Ultra- sound Obstet Gynecol 2004;23(3): 247-53.
- Ash A, Smith A, Maxwell D. Cesarean scar pregnancy. Br J Obstet Gynecol 2007;114(3): 253-63.
- Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Ce- sarean section scar. Ultrasound Obstet Gynecol 2003;21(3): 220-7.
- Larsen JV, Solomon MH. Pregnancy in a uterine scar saccu- lus: an unusual cause of postabortal haemorrhage. Afr Med J 1978;53(4): 142–3.
- Tan G, Chong YS, Biswas A. Caesarean scar pregnancy: a diagnosis to consider carefully in patients with risk factors. Ann Acad Med Singapore 2005;34(2): 216-9.
- Molinaro TA, Barnhart KT. Ectopic pregnancies in unusual locations. Semin Reprod Med 2007;25(2): 123-30.
- Rotas MA, Haberman S, Levgur M.Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol 2006;107(6):1373-81
- Fylstra DL, Pound-Chang T, Miller MG, Cooper A, Miller KM. Ectopic pregnancy within a cesarean delivery scar: a case report. Am J Obstet Gynecol 2002;187(2):302-4.
Öz
Pregnancy implantation to the cesarean scar could be the life threatening, although it is a rare event, its ratio increased along with the increasing rate of cesarean de­livery. Early diagnosis and treatment may be lifesaving with preserving fertility in these patients. In transvaginal ultrasonography; presence of an empty uterine and cervi­cal cavity, lack of continuity of myometrial setting at the anterior isthmic region and pregnancy implantation to this region should suggest the diagnosis. In this article, we aimed to present a patient with scar ectopic pregnancy with the review of the literature.
Anahtar Kelimeler
Kaynakça
- Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy: Issues in management. Ultra- sound Obstet Gynecol 2004;23(3): 247-53.
- Ash A, Smith A, Maxwell D. Cesarean scar pregnancy. Br J Obstet Gynecol 2007;114(3): 253-63.
- Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Ce- sarean section scar. Ultrasound Obstet Gynecol 2003;21(3): 220-7.
- Larsen JV, Solomon MH. Pregnancy in a uterine scar saccu- lus: an unusual cause of postabortal haemorrhage. Afr Med J 1978;53(4): 142–3.
- Tan G, Chong YS, Biswas A. Caesarean scar pregnancy: a diagnosis to consider carefully in patients with risk factors. Ann Acad Med Singapore 2005;34(2): 216-9.
- Molinaro TA, Barnhart KT. Ectopic pregnancies in unusual locations. Semin Reprod Med 2007;25(2): 123-30.
- Rotas MA, Haberman S, Levgur M.Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol 2006;107(6):1373-81
- Fylstra DL, Pound-Chang T, Miller MG, Cooper A, Miller KM. Ectopic pregnancy within a cesarean delivery scar: a case report. Am J Obstet Gynecol 2002;187(2):302-4.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2011 |
| Gönderilme Tarihi | 2 Mart 2015 |
| Yayımlandığı Sayı | Yıl 2011 |