CERVICAL ECTOPIC PREGNANCY: A CASE REPORT

Yıl 2013, Cilt: 3 Sayı: 2, 108 - 111, 01.06.2013

Bülent Çakmak Tülay Aysal Zeki Özsoy Fazlı Demirtürk

https://izlik.org/JA75WD59FC

Öz

Cervical ectopic pregnancy which is implanted in the endocervical region, a rare condition characterized by high maternal morbidity and mortality. Early diagnosis and treatment can be life saving with preserving fertility in these patients. In this article, diagnosis and treatment of a cervical ectopic pregnancy case is presented with the review of the literature.Key words:

Anahtar Kelimeler

Cervical ectopic pregnancy , diagnosis , treatment.

SERVİKAL EKTOPİK GEBELİK: OLGU SUNUMU

https://izlik.org/JA75WD59FC

Öz

Servikal ektopik gebelik endoservikal bölgeye implante olan, yüksek maternal morbidite ve mortalite ile seyreden nadir bir durumdur. Erken tanı ve tedavi bu hastalarda fertilitenin korunması ile birlikte hayat kurtarıcı olabilmektedir. Bu yazıda endoservikal küretaj ile sonlandırılan ve kanama kontrolü amacıyla intraservikal foley uygulanarak başarılı bir şekilde tedavi edilen bir servikal ektopik gebelik olgusu literatür eşliğinde sunulmuştur.

Anahtar Kelimeler

Anahtar kelimeler: Servikal ektopik gebelik , tanı , tedavi.

Kaynakça

• Breen JL. A 21 year survey of 654 ectopic pregnancies. Am J ObstetGynecol 2002; 106:1004-19.
• Heikinheimo O, Leminen A, Cacciatore B, Rutanen EM, Kajanoja P. Advanced cervical pregnancy: uterus-sparing therapy initiated with a combination of methotrexate and mifepristone followed by evacuation and local hemostatic measures. ActaObstetGynecolScand 2004;83:211-3.
• Yitzhak M, Orvieto R, Nitke S, Neuman-Levin M, Ben-Rafael Z, Schoenfeld A. Cervical pregnancy a conservative stepwise approach. Hum Reprod 1999;14:847-9.
• Meerssche MV, Verdonk P, Jacquemyn Y. Cervical pregnancy: three case reports and a review of the literature. Human Reprod 1995;10:1850-5.
• Weyeman PC, Verhoeven AT, Alberda AT. Cervical pregnancy after in vitro fertilization and embryo transfer. Am J ObstetGynecol 1990;163:639-4.
• Brisden PR, Smith B, Craft IL. Cervical ectopic pregnancy following gamete intrafallopian transfer. J In Vitro FertilEmbriyo Transfer 1988;5:370.
• Ushakov FB, Elchalal U, Aceman PJ, Schenker JG. Cervical pregnancy: Past and future. ObstetGynecolSurv 1997;52:45-59.
• Ruano R, Reya F, Picone O. Threedimensionalultrasonographic diagnosis of a cervical pregnancy. Clinics 2006;61:355-8.
• Jung SE, Byun JY, Lee JM, Choi BG, Hahn ST. Characteristic MR findings of cervical pregnancy. J MagnReson Imaging 2001;13:918
• Frates MC, Benson CB, Doubilet PM. Cervical ectopic pregnancy: results of conservative treatment. Radiology 1994;19:773-5.
• Kirk E, Condous G, Haider Z, Syed A, Ojha K, Bourne T. The conservative management of cervical ectopic pregnancies. Ultrasound Obstet Gynecol 2006;27:430-7.
• Maral İ, Sözen U, Balık E. Servikal Gebeliğin Konservatif Tedavisi (Olgu Sunumu). Turk Klin Jinekol Obst 1993;3:67-9.
• Seçen İE, Keskin HL, Avşar AF. Servikal ektopik gebelik: Üç olgu sunumu. J Turk Soc Obstet Gynecol 2012;9:229-32.
• Harman M, Zeteroğlu Ş, Etlik Ö, Arslan İ. Bozulmuş servikal gebelikte arteryel embolizasyon ile tedavi. Turk J Diagn Intervent Radiol 2003;9:91-3.
• Trambert JJ, Einstein MH, Banks E, Frost A, Goldberg GL. Uterine artery embolization in the management of vaginal bleeding from cervical pregnancy: a case series. J Reprod Med 2005;50:844-50.
• Yang JH, Shih JC, Liu KL, Yang YS. Combined treatment with temporary intraoperative balloon occlusion of common iliac arteries and hysteroscopic endocervical resection with postoperative cervical balloon for intractable cervical pregnancy in an infertile woman. Fertil Steril 2007;88:1438.e11–13.
• Farhat LB, Salah YB, Askri A, Dali N, Hendaoui L. Conservative treatment of a cervical twin pregnancy with uterine artery embolization. Diagn Interv Radiol 2010;16:248