BibTex RIS Kaynak Göster

Persistent ectopic pregnancy after milking procedure: Case report

Yıl 2014, Cilt: 41 Sayı: 1, 228 - 230, 01.03.2014
https://doi.org/10.5798/diclemedj.0921.2014.01.0407

Öz

Ectopic pregnancy is the settlement of the pregnancy product at any site other than the endometrium. The incidence of ectopic pregnancy have increased in the last 20 years. Increased frequency and early diagnosis has led to conservative treatment methods to become more favorable. Follow-up, medical management and surgical managements are considered as conservative methods. As salpingostomy is the most common conservative surgical method, milking is considered as an alternative conservative surgical method. The most important complication of the conservative surgery is the persistence of ectopic pregnancy because of the residual trophoblastic tissue. Since the prediction of the persistent ectopic pregnancy is difficult after the conservative surgery, β-HCG follow up is so important for early diagnosis. In this case report we have discussed the case of the patient who admitted to our clinic with persistent ectopic pregnancy with acute abdomen, after the treatment with milking procedure whom than treated by salpingectomy procedure.

Kaynakça

  • Schorge JO, Schaffer JI, Halvorson LM, et al. Williams Gy- necology, first edition. Texas: Mc Graw Hill, 2008:157-173.
  • Görük NY, Turgut A, Tunç SY, et al. Tubal passage control after methotrexate treatment in ectopic pregnancies. J Clin Exp Invest 2011;2:400-403.
  • Lund CO, Nilas L, Bangsgaard N, et al. Persistent ectopic pregnancy after linear salpingotomy: a non-predictable complication to conservative surgery for tubal gestation. Acta Obstet Gynecol Scand 2002;81:1053-1059.
  • Suzuki T, Izumi S, Nakamura E, et al. Persistent Ectopic Pregnancy after Laparoscopic Salpingotomy: A Manage- able complication to Preserve Reproductive Tubal Func- tion. Tokai J Exp Clin Med 2009;34:112-116.
  • Nathorst-Böös J, Hamad RR. Risk factors for persistent tro- phoblastic activity after surgery for ectopic pregnancy. Acta Obstet Gynecol Scand 2004;83:471-475.
  • Seifer DB, Gutmann JN, Doyle MB, et al. Persistent ectopic pregnancy following laparoscopic linear salpingostomy. Obstet Gynecol 1990;76:1121-1125.
  • Billieux MH, Petignat P, Anguenot JL, et al. Early and late half-life of human chorionic gonadotropin as a predictor of persistent trophoblast after laparoscopic conservative surgery for tubal pregnancy. Acta Obstet Gynecol Scand 2003;82:550-555.
  • Stock RJ. Persistent tubal pregnancy. Obstet Gynecol 1991;77:267-270.

Persistent ectopic pregnancy after milking procedure: Case report

Yıl 2014, Cilt: 41 Sayı: 1, 228 - 230, 01.03.2014
https://doi.org/10.5798/diclemedj.0921.2014.01.0407

Öz

Ektopik gebelik, gebelik ürününün endometrium dışında herhangi bir yere yerleşmesidir. Ektopik gebelik sıklığı son 20 yılda artmıştır. Sıklığının artması ve tanının daha erken konulabilmesi, tedavide konservatif yöntemlerin ön plana çıkmasına neden olmuştur. Konservatif yöntemler arasında izlem, medikal tedavi ve cerrahi tedavi yöntemleri vardır. En sık kullanılan konservatif cerrahi yöntem salpingostomi olmakla birlikte milking (sağma) yöntemi de alternatif konservatif cerrahi yöntemdir. Konservatif tedavi yönteminin uygulanması sonrasında karşılaşılabilecek en önemli sorun ise trofoblastik dokunun yetersiz çıkarılmasından kaynaklanan artmış persistans riskidir. Konservatif cerrahi yöntemlerden sonra persistansı kesin bir şekilde öngöremediğimiz için erken dönemde tanının konulmasında β-HCG takibi oldukça önemlidir. Bu olgu sunumunda milking yöntemi ile tedavi edilip sonrasında persistan ektopik gebelik tanısı ve akut batın tablosu ile kliniğimize başvurup salpenjektomi yapılmış olan bir olgu tartışılmıştır.

Kaynakça

  • Schorge JO, Schaffer JI, Halvorson LM, et al. Williams Gy- necology, first edition. Texas: Mc Graw Hill, 2008:157-173.
  • Görük NY, Turgut A, Tunç SY, et al. Tubal passage control after methotrexate treatment in ectopic pregnancies. J Clin Exp Invest 2011;2:400-403.
  • Lund CO, Nilas L, Bangsgaard N, et al. Persistent ectopic pregnancy after linear salpingotomy: a non-predictable complication to conservative surgery for tubal gestation. Acta Obstet Gynecol Scand 2002;81:1053-1059.
  • Suzuki T, Izumi S, Nakamura E, et al. Persistent Ectopic Pregnancy after Laparoscopic Salpingotomy: A Manage- able complication to Preserve Reproductive Tubal Func- tion. Tokai J Exp Clin Med 2009;34:112-116.
  • Nathorst-Böös J, Hamad RR. Risk factors for persistent tro- phoblastic activity after surgery for ectopic pregnancy. Acta Obstet Gynecol Scand 2004;83:471-475.
  • Seifer DB, Gutmann JN, Doyle MB, et al. Persistent ectopic pregnancy following laparoscopic linear salpingostomy. Obstet Gynecol 1990;76:1121-1125.
  • Billieux MH, Petignat P, Anguenot JL, et al. Early and late half-life of human chorionic gonadotropin as a predictor of persistent trophoblast after laparoscopic conservative surgery for tubal pregnancy. Acta Obstet Gynecol Scand 2003;82:550-555.
  • Stock RJ. Persistent tubal pregnancy. Obstet Gynecol 1991;77:267-270.
Toplam 8 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Olgu Sunumları
Yazarlar

Semra Kayataş Bu kişi benim

Didar Kurt Bu kişi benim

Mustafa Eroğlu Bu kişi benim

Sevcan Arzu Arınkan Bu kişi benim

Murat Api Bu kişi benim

Yayımlanma Tarihi 1 Mart 2014
Gönderilme Tarihi 2 Mart 2015
Yayımlandığı Sayı Yıl 2014 Cilt: 41 Sayı: 1

Kaynak Göster

APA Kayataş, S., Kurt, D., Eroğlu, M., Arınkan, S. A., vd. (2014). Persistent ectopic pregnancy after milking procedure: Case report. Dicle Tıp Dergisi, 41(1), 228-230. https://doi.org/10.5798/diclemedj.0921.2014.01.0407
AMA Kayataş S, Kurt D, Eroğlu M, Arınkan SA, Api M. Persistent ectopic pregnancy after milking procedure: Case report. diclemedj. Mart 2014;41(1):228-230. doi:10.5798/diclemedj.0921.2014.01.0407
Chicago Kayataş, Semra, Didar Kurt, Mustafa Eroğlu, Sevcan Arzu Arınkan, ve Murat Api. “Persistent Ectopic Pregnancy After Milking Procedure: Case Report”. Dicle Tıp Dergisi 41, sy. 1 (Mart 2014): 228-30. https://doi.org/10.5798/diclemedj.0921.2014.01.0407.
EndNote Kayataş S, Kurt D, Eroğlu M, Arınkan SA, Api M (01 Mart 2014) Persistent ectopic pregnancy after milking procedure: Case report. Dicle Tıp Dergisi 41 1 228–230.
IEEE S. Kayataş, D. Kurt, M. Eroğlu, S. A. Arınkan, ve M. Api, “Persistent ectopic pregnancy after milking procedure: Case report”, diclemedj, c. 41, sy. 1, ss. 228–230, 2014, doi: 10.5798/diclemedj.0921.2014.01.0407.
ISNAD Kayataş, Semra vd. “Persistent Ectopic Pregnancy After Milking Procedure: Case Report”. Dicle Tıp Dergisi 41/1 (Mart 2014), 228-230. https://doi.org/10.5798/diclemedj.0921.2014.01.0407.
JAMA Kayataş S, Kurt D, Eroğlu M, Arınkan SA, Api M. Persistent ectopic pregnancy after milking procedure: Case report. diclemedj. 2014;41:228–230.
MLA Kayataş, Semra vd. “Persistent Ectopic Pregnancy After Milking Procedure: Case Report”. Dicle Tıp Dergisi, c. 41, sy. 1, 2014, ss. 228-30, doi:10.5798/diclemedj.0921.2014.01.0407.
Vancouver Kayataş S, Kurt D, Eroğlu M, Arınkan SA, Api M. Persistent ectopic pregnancy after milking procedure: Case report. diclemedj. 2014;41(1):228-30.