Öz
Combined intrauterine and extrauterine pregnancy is a rare event in obstetrics. Clinically it is difficult to diagnose heterotopic pregnanacy. Heterotopic pregnancy should be considered if Assited Reproductive Techniques have been applied or b HCG levels persist or increase after spontanous abortion or dilation curettage.
Anahtar Kelimeler
Case report Heterotropic pregnancy Chorionic Gonadotropin beta Subunit Human Pregnancy Complications
Kaynakça
- 1- Cunninghom PG, MacDonald P, Gant N. ,et al: Ectopic pregnancy in Williams Obtetrics 20 th ed. Appleton & Lange, 1997 Chp 27 p 6.12 2- Marcus SF, Macnamee M, Brinsden P. Heterotopic pregnancies after in-vitro fertilization and embryo transfer .Hum Reprod 1995 ; 10:1232-6 3- Ribic-Pucelj M, Tomozevic T, Vogler A, Meden-Vrtovec H. Risk factors for ectopic pregnancy after in vitro fertilization and embryo transfer. J Assist Reprod Genet.1995; 12:594-8 4- Molloy D, Deambrosis W, Keeping D, Hynes J, Harrison K, Hennessey J: Multiple-sited (Heterotopic) pregnancy after in vitro fertilization and gamete intrafallapian transfer . Fertil Steril 1990;53:1068-71 5- Reece AE, Petrie RH, Sirmans MF,Finster M, Todd WD.Combined intrauterine and extrauterine gestations: A review. Am J Obstet Gynecol 1983; 146:323-30 6- Wright A, Kowalczyk CL, Quintero R, Leach RE. Selective embryo reduction in a heterotopic pregnancy using potassium injection resulting in a hematosalpinx. Fertl Steril 1996; 66:1028-30 7- Guirgis RR. Simultaneous intrauterine and ectopic pregnancies following in-vitro fertilization and gamete intra-fallopian transfer. A reviewof nine cases.Hum Reprod 1990 May;5(4) 484-6 8- Wong CM, Ganesh R, Ng KY. Ectopic pregnancy: uncommon presentations and difficulty in diagnosis. Med J Malaysia 1999 Mar; 54(1): 117-9
Öz
Kombine intrauterin ve ekstrauterin gebelik obstetrikte oldukça nadir görülen bir durumdur. Heterotopik gebeliği teşhis etmek klinik olarak oldukça zordur. Heterotopik gebelik özellikle yardımlı üreme teknikleri sonucu gebelik elde edilmiş olgularda, spontan abortus veye dilatasyon küretajı takiben b HCG seviyesi persiste eden veya yükselen olgularda düşünülmelidir.
Anahtar Kelimeler
Olgu sunumu Heterotropik gebelik Korionik gonadotropin beta subunit insan Gebelik komplikasyonları
Kaynakça
- 1- Cunninghom PG, MacDonald P, Gant N. ,et al: Ectopic pregnancy in Williams Obtetrics 20 th ed. Appleton & Lange, 1997 Chp 27 p 6.12 2- Marcus SF, Macnamee M, Brinsden P. Heterotopic pregnancies after in-vitro fertilization and embryo transfer .Hum Reprod 1995 ; 10:1232-6 3- Ribic-Pucelj M, Tomozevic T, Vogler A, Meden-Vrtovec H. Risk factors for ectopic pregnancy after in vitro fertilization and embryo transfer. J Assist Reprod Genet.1995; 12:594-8 4- Molloy D, Deambrosis W, Keeping D, Hynes J, Harrison K, Hennessey J: Multiple-sited (Heterotopic) pregnancy after in vitro fertilization and gamete intrafallapian transfer . Fertil Steril 1990;53:1068-71 5- Reece AE, Petrie RH, Sirmans MF,Finster M, Todd WD.Combined intrauterine and extrauterine gestations: A review. Am J Obstet Gynecol 1983; 146:323-30 6- Wright A, Kowalczyk CL, Quintero R, Leach RE. Selective embryo reduction in a heterotopic pregnancy using potassium injection resulting in a hematosalpinx. Fertl Steril 1996; 66:1028-30 7- Guirgis RR. Simultaneous intrauterine and ectopic pregnancies following in-vitro fertilization and gamete intra-fallopian transfer. A reviewof nine cases.Hum Reprod 1990 May;5(4) 484-6 8- Wong CM, Ganesh R, Ng KY. Ectopic pregnancy: uncommon presentations and difficulty in diagnosis. Med J Malaysia 1999 Mar; 54(1): 117-9
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Şubat 2002 |
| Yayımlandığı Sayı | Yıl 2002 Cilt: 33 Sayı: 1 |