Yıl 2020, Cilt 4 , Sayı 4, Sayfalar 318 - 320 2020-04-01

Cerrahi batının nadir bir nedeni: Heterotopik gebelik rüptürü
A rare cause of surgical abdomen: Heterotopic pregnancy rupture

Mehmet Erdi YILMAZ [1] , Cansu KIZILTAŞ [2] , Selman YENİOCAK [3] , Vildan ÖZER [4] , Abdulkadir GÜNDÜZ [5]


Heterotopik gebelik, fertilize ovumun eş zamanlı olarak ekstrauterin ve intrauterin yerleşimidir. Yazımızda bir hafta önce kürtaj olmuş rüptüre heterotopik gebelik olgusunu literatür eşliğinde tartışmayı amaçladık. Yirmi sekiz yaşında kadın hasta vajinal kanama ve karın ağrısı şikayetleri nedeniyle acil servise müracaat etti. Bir hafta önce, 7 haftalık intrauterin istenmeyen gebelik nedeniyle kürtaj olan hastanın fizik muayenede batında yaygın hassasiyeti mevcut idi. Vajinal muayenede aktif kanama izlendi. Kan tetkik sonuçlarında serum β-human koryonik gonadotropin düzeyi 14562 mlU/mL olduğu saptandı. Yapılan ultrasonografide sağ adneksiyal alanda, kalp atımı mevcut crown-rump length 8 mm ve etrafında hematom mevcut fetüs izlendi. Hastaya rüptüre heterotopik gebelik tanısı konularak ameliyata alındı. Ektopik gebelik, üreğen dönemde cinsel yönden aktif olan kadınlarda ortaya çıkabilen çok ciddi hastalıklardan birisidir. Blastokistin anormal implantasyonu sonucu gelişen ektopik gebelik en sık fallop tüplerinde, daha az sıklıkta over yerleşimli olabilir. Ovaryan gebelik, blastokistin over içinde implante olması ile karakterizedir. Ektopik gebeliklerin %0,15-3’ünü oluşturur. Yaklaşık 7000 gebelikte bir görülmektedir. Bizim vakamızda blastokist, nadir görülen bir yerleşim yeri olan sağ over lokasyonundaydı. Akut karın ağrısı ve vaginal kanama şikayetleriyle acil servise gelen üreme dönemdeki bayan hastalarda intrauterin ile beraber ekstrauterin gebelik ve/veya rüptürü de olabileceği göz ardı edilmemelidir.

Heterotopic pregnancy is simultaneous extrauterine and intrauterine localization of the fertilized ovum. In this article, we aimed to present the case of a ruptured heterotopic pregnancy patient who had abortion a week ago. A 28-year-old female patient was referred to the Emergency Department due to vaginal bleeding and abdominal pain. Physical examination revealed that the patient, who had an abortion a week ago because of unwanted pregnancy at the 7th gestational week, had widespread sensitivity in the abdomen. Active bleeding was observed in vaginal examination. Her serum β-human chorionic gonadotropin level was 14562 mIU/mL. A fetus surrounded by hematoma with an 8 mm crown-rump length and heartbeat was observed in the right adnexal area during pelvic ultrasonography. The patient was diagnosed with ruptured heterotopic pregnancy and underwent surgery. In female patients who are in reproductive age and who refer to Emergency Department with acute abdominal pain and vaginal bleeding, it must not be ignored that there might be extrauterine pregnancy along with intrauterine pregnancy and/or rupture. Ectopic pregnancy is a disease, which might occur in sexually active women in reproductive period and develops as a result of abnormal implantation of blastocyst. It can be localized in the ovaries, and less commonly, in the fallopian tubes. Ovarian pregnancy is characterized with the blastocyst being implanted in the ovary. It constitutes 0.15-3% of ectopic pregnancies and is observed in approximately one in every 7000 pregnancies. In our case, the blastocyst was localized in the right ovarian area, which is exceedingly rare.
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Bölüm Olgu sunumu
Yazarlar

Orcid: 0000-0001-6974-812X
Yazar: Mehmet Erdi YILMAZ (Sorumlu Yazar)
Kurum: Karadeniz Technical University
Ülke: Turkey


Orcid: 0000-0001-6416-941X
Yazar: Cansu KIZILTAŞ
Kurum: Karadeniz Technical University
Ülke: Turkey


Orcid: 0000-0002-1124-396X
Yazar: Selman YENİOCAK
Kurum: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL HASEKİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0002-2514-5674
Yazar: Vildan ÖZER
Kurum: Karadeniz Technical University
Ülke: Turkey


Orcid: 0000-0001-8591-9769
Yazar: Abdulkadir GÜNDÜZ
Kurum: Karadeniz Technical University
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Nisan 2020

Bibtex @olgu sunumu { josam702768, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {318 - 320}, doi = {10.28982/josam.702768}, title = {A rare cause of surgical abdomen: Heterotopic pregnancy rupture}, key = {cite}, author = {Yılmaz, Mehmet Erdi and Kızıltaş, Cansu and Yeniocak, Selman and Özer, Vildan and Gündüz, Abdulkadir} }
APA Yılmaz, M , Kızıltaş, C , Yeniocak, S , Özer, V , Gündüz, A . (2020). A rare cause of surgical abdomen: Heterotopic pregnancy rupture . Journal of Surgery and Medicine , 4 (4) , 318-320 . DOI: 10.28982/josam.702768
MLA Yılmaz, M , Kızıltaş, C , Yeniocak, S , Özer, V , Gündüz, A . "A rare cause of surgical abdomen: Heterotopic pregnancy rupture" . Journal of Surgery and Medicine 4 (2020 ): 318-320 <http://jsurgmed.com/tr/pub/issue/53710/702768>
Chicago Yılmaz, M , Kızıltaş, C , Yeniocak, S , Özer, V , Gündüz, A . "A rare cause of surgical abdomen: Heterotopic pregnancy rupture". Journal of Surgery and Medicine 4 (2020 ): 318-320
RIS TY - JOUR T1 - A rare cause of surgical abdomen: Heterotopic pregnancy rupture AU - Mehmet Erdi Yılmaz , Cansu Kızıltaş , Selman Yeniocak , Vildan Özer , Abdulkadir Gündüz Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.702768 DO - 10.28982/josam.702768 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 318 EP - 320 VL - 4 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.702768 UR - https://doi.org/10.28982/josam.702768 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine A rare cause of surgical abdomen: Heterotopic pregnancy rupture %A Mehmet Erdi Yılmaz , Cansu Kızıltaş , Selman Yeniocak , Vildan Özer , Abdulkadir Gündüz %T A rare cause of surgical abdomen: Heterotopic pregnancy rupture %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 4 %R doi: 10.28982/josam.702768 %U 10.28982/josam.702768
ISNAD Yılmaz, Mehmet Erdi , Kızıltaş, Cansu , Yeniocak, Selman , Özer, Vildan , Gündüz, Abdulkadir . "A rare cause of surgical abdomen: Heterotopic pregnancy rupture". Journal of Surgery and Medicine 4 / 4 (Nisan 2020): 318-320 . https://doi.org/10.28982/josam.702768
AMA Yılmaz M , Kızıltaş C , Yeniocak S , Özer V , Gündüz A . A rare cause of surgical abdomen: Heterotopic pregnancy rupture. J Surg Med. 2020; 4(4): 318-320.
Vancouver Yılmaz M , Kızıltaş C , Yeniocak S , Özer V , Gündüz A . A rare cause of surgical abdomen: Heterotopic pregnancy rupture. Journal of Surgery and Medicine. 2020; 4(4): 318-320.
IEEE M. Yılmaz , C. Kızıltaş , S. Yeniocak , V. Özer ve A. Gündüz , "A rare cause of surgical abdomen: Heterotopic pregnancy rupture", Journal of Surgery and Medicine, c. 4, sayı. 4, ss. 318-320, Nis. 2020, doi:10.28982/josam.702768