Öz
The diagnosis of heterotopic pregnancy is usually more difficult than the other obstetric emergencies, necessitating a thorough anamnesis and a high diagnostic suspicion, followed by the utilization of ultrasonography as the most valuable diagnostic tool. In this report the intraoperative finding of a heterotopic pregnancy in an adult female patient was presented while being operated by the general surgeon with the working diagnosis of acute appendicitis under emergency conditions.
Anahtar Kelimeler
Kaynakça
- Brunham RC, Binns B, McDowell R, Paraskevas M. Chlamydia trochomatis infection in women with ectopic pregnancy. Obstet Gynecol, 1987; 67: 722- 26
- Chang Y, Lee JN, Yang Ch, et al. An unexpected quadruplet heterotopic pregnancy after bilateral salpingectomyand replacement of three embryos. Fertil Steril, 2003; 80: 218
- Divry V, Hadj S, Bordes A, Genod A, Salle B. Case of progressive intrauterine twin pregnancy after surgical treatment of cornual pregnancy. Fertil Steril 2007; 87: 190.e1-3
- Louis-Sylvestre C, Morice P, Chapron C. The role of laparoscopy in the diagnosis and management of heterotopic pregnancies. Hum Reprod 1997; 12: 1100-2.
- Luo X, Lim CE, Huang C, et al. Heterotopic pregnancy embryo transfer: 12 cases report. Arch Gynecol Obstet 2009; 280: 325-9.
- vitro fertilization and
- Mol BW, Hajenius PJ, Engelsbel S, et al. Can noninvasive diagnostic tools predict tubal rupture or active bleeding in patients with tubal pregnancy? Fertil Steril 1999; 71: 167-73.
- Talbot K , Simpson R , Price N et al . Heterotopic pregnancy review . Journal of Obstetrics and Gynaecology, 2011; 31: 7 – 12
- Yao M, Tulandi, T. Current status of surgical and non-surgical treatment of ectopic pregnancy. Fertil Steril 1997; 67: 421-33.
Öz
Heterotopik gebeliğin tanısı diğer obstetrik acillere kıyasla daha zordur, anamnezin detaylı olarak alınmasını ve yüksek düzeyde klinik şüphelenmeyi gerektirir. Tanıda en değerli yöntem ise ultrasonografidir. Bu yazıda akut batın sebebiyle akut apandisit ön tanısı konulup genel cerrahi kliniği tarafından opere edilen ve operasyon sırasında istenen konsültasyon sonunda heterotopik gebelik tanısı konulan bir olgu sunulmaktadır
Anahtar Kelimeler
Kaynakça
- Brunham RC, Binns B, McDowell R, Paraskevas M. Chlamydia trochomatis infection in women with ectopic pregnancy. Obstet Gynecol, 1987; 67: 722- 26
- Chang Y, Lee JN, Yang Ch, et al. An unexpected quadruplet heterotopic pregnancy after bilateral salpingectomyand replacement of three embryos. Fertil Steril, 2003; 80: 218
- Divry V, Hadj S, Bordes A, Genod A, Salle B. Case of progressive intrauterine twin pregnancy after surgical treatment of cornual pregnancy. Fertil Steril 2007; 87: 190.e1-3
- Louis-Sylvestre C, Morice P, Chapron C. The role of laparoscopy in the diagnosis and management of heterotopic pregnancies. Hum Reprod 1997; 12: 1100-2.
- Luo X, Lim CE, Huang C, et al. Heterotopic pregnancy embryo transfer: 12 cases report. Arch Gynecol Obstet 2009; 280: 325-9.
- vitro fertilization and
- Mol BW, Hajenius PJ, Engelsbel S, et al. Can noninvasive diagnostic tools predict tubal rupture or active bleeding in patients with tubal pregnancy? Fertil Steril 1999; 71: 167-73.
- Talbot K , Simpson R , Price N et al . Heterotopic pregnancy review . Journal of Obstetrics and Gynaecology, 2011; 31: 7 – 12
- Yao M, Tulandi, T. Current status of surgical and non-surgical treatment of ectopic pregnancy. Fertil Steril 1997; 67: 421-33.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 6 Ocak 2015 |
| Gönderilme Tarihi | 6 Kasım 2014 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 77 Sayı: 3 |
Kaynak Göster
Contact information and address
Addressi: İ.Ü. İstanbul Tıp Fakültesi Dekanlığı, Turgut Özal Cad. 34093 Çapa, Fatih, İstanbul, TÜRKİYE
Email: itfdergisi@istanbul.edu.tr
Phone: +90 212 414 21 61