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    Fetal goiter was resolved with decreasing maternal propylthiouracil dose [Maternal propiltiyourasil dozunun azaltılması ile kaybolan fetal guatr]
    (Turkiye Klinikleri, 2016) Yavuz A.; Akkurt M.Ö.; Tatar B.; Karakoç G.; Yalçın Y.
    We report a case of fetal goiter diagnosed by detailed ultrasonography. A 33-year-old woman at twenty weeks of gestation was referred to our hospital for detailed ultrasonography. A fetal goiter was identified. She was receiving propylthiouracil (PTU) 100 mg daily for Graves’ disease. Amniocentesis was performed and fetal thyroid function was evaluated as normal. Her recent thyroid function tests were normal, but antithyroid antibodies were positive. The dose of PTU was reduced to 50 mg. However, at twenty six weeks of gestation, maternal thyroid-related autoantibodies became undetectable. A fetal magnetic resonance imaging demonstrated a slight shrinkage of the fetal goiter at 30 weeks. The fetus was delivered vaginally. Thyroid function tests of the neonate were normal, and neonatal goiter was nonpalpable. Fetal goiter is a rare disease. It can be spontaneously resolved by decreasing the maternal dose of PTU. © 2016, Galenos Yayincilik. All rights reserved.
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    The reproductive results after reversal of tubal sterilization [Tubal Reanastomoz Sonrasí Gebelik Sonuçlarí]
    (Turkiye Klinikleri, 2015) Yavuz A.; Akkurt M.Ö.; YALçIN Y.; Tatar B.; KARAKOç G.
    Objective: To investigate whether tubal reanastamosis is an alternative to in vitro fertilization (IVF) for women wish to conceive after tubal ligation surgery. Material and Methods: The women referred to Suleyman Demirel University Hospital between January 2008 to January 2012 who underwent surgical sterilization but changed their decision to become pregnant again were searched. Thirty women who a reanastamosis operation performed included in the study. The fecundability rates and pregnancy outcomes of these patients were analysed. Results: The pregnancy rate after tubal reanastamosis in our clinic is 60%. 16.6% of these pregnancies resulted in abortus, 5.5% were ectopic pregnancies and 77.7% of them reached term. Conclusion: Besides its cost-efficiency, tubal recanalisation is a method with low rates of multiple pregnancy and ovarian hyperstimulation syndrome, better patient compliance and success rates. Also it can offer a concomittant intervention possibility for endometrial polips, ovarian cysts, myomas or adhesions. If chosen according to right patient age, tubal lenght after ligation, hormone status, spermiogram of the partner, it may be a better option to IVF. Copyright © 2015 by Türkiye Klinikleri.