Cornual pregnancy: 3 case reports

Yıl 2003, Cilt: 34 Sayı: 3, 21 - 23, 01.04.2003

Ali Gedikbaşı Ayşe Gürbüz Hakan Peker Ateş Karateke

Öz

We detected cornual pregnancy in 3 (1,3) of the 228 ectopic pregnancies which were treated with laparoscopic or laparotomie surgery between 1997-2001. In preoperative period, two of them were diagnosed as ectopic pregnancy and one of it as cornual pregnancy. The third patient was operated emergently, because of hypovolemia and previous history of ectopic pregnancy. All three patients underwent laparotomy and cornual wedge resection.

Anahtar Kelimeler

Case report, Pregnancy, Ectopic, Pregnancy, Tubal, Diagnostic Techniques, Obstetrical and Gynecological, Laparotomy, Ultrasonography

Kornual gebelik: 3 olgu sunumu

Öz

Zeynep Kamil Kadın ve Çocuk Hastalıktan Eğitim ve Araştırma Hastanesi'ne 1997-2001 yılları arasında ektopik gebelik tanısı ile yatirılıp opere edilen 228 hastanın 3 tanesinde (%1.3) kornual gebelik saptandı. Bu hastalardan ikisi preoperatif ektopik gebelik tanısı aldı ve bir tanesinde kornual ektopik gebelik ön tanısı konuldu. Üçüncü hastaya hipovolemik şok tablosu ve ektopik gebelik öyküsü nedeniyle aci laparotomi uygulandı. Her üç hastaya da laparotomi ile beraber kornual wedge rezeksiyon uygulandı.

Anahtar Kelimeler

Olgu sunumu, Gebelik, ektopik, Gebelik, tubal, Tanı teknikleri, kadın doğum ve kadın hastalıkları, Laparotomi, Ultrasonografi

Kaynakça

• 1. Fernandez H, De Ziegler D, Bourget P, Feltain P, Frydman R. The place of methotrexate in the management of intertitial pregnancy. Hum Reprod 1991;6:302-6
• 2. Dorfman SF, Grimes DA, Cates W Jr., Binkin NJ, Kafrissen ME, O' Reilly KR. Ectopic pregnancy mortality, United States, 1970-80: clinical aspects. Obstet Gynecol 1984; 61:386-90
• 3. Coady DJ, Snyder JR, Goldstein SR, Subramayan BR. Ultrasound diagnosis of interstitial pregnancy. N Y Stat} Med, 85 (11): 1985;655-6
• 4. Stovall TG, McCord ML. Early pregnancy loss and ectopic pregnancy. In: Berek JS, Adashi EY, Hillard PA, eds. Novak's Gynecology, 13th ed. Baltimore,Maryland: Williams & Wilkins, 2002:507- 542
• 5. Goldberger SG, Rosen DJD, Cohen I, Fejgin M, Tepper R, Beyth Y. Laparoscopic resection o/cornual pregnancy: a first case report. J Am Assoc Gynecol Laparos 1994;l(4):12-3
• 6. Sagiv R, Golan A, Arbel-Alon S, Glezerman M. Three conservative approaches to treatment of interstitial pregnancy. J Am Assoc Gynecol Laparos 1994;8(l):154-8
• 7. Yutaka M, Osamu T, Mikio M, Yuji T. Cornual pregnancy successfully treated laparoscopically with fibrin glue hemostasis. Obstet Gynecol 1997;90:685-7
• 8. Tulandi T, Vilos G, Gomel V. Laparoscopic Treatment of interstitial Pregnancy. Obstret Gynecol 1995;85:465- 7
• 9. Gherman RB, Stitely M, Larrimore C, Nevin K, Coppola A, Wiese D. Low-dose methotrxate treatment for interstitial pregnancy. A case report. J Reprod Med 2000; 45:142-4.