Kornual gebelikte iki olguda iki tedavi yöntemi / Two treatment methods in two cases of cornual pregnancy
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Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Gestasyonel kesenin uterin kavite dışına yerleşmesi olarak tanımlanan ektopik gebelik,erken gebelik döneminde yaşamı tehdit eden en sık görülen acil durumdur. İnterstisyel ektopik gebelik,ektopik gelişen gebeliğin fallop tüpünün uterin bölümüne yerleşmesi olarak tanımlanır ve tüm ektopik gebeliklerin %2-4 ünü oluşturur. Diğer tubal gebeliklere göre daha ileri gebelik haftalarında rüptür olur ve rüptür olduğunda genellikle aşırı kanama meydana gelir. Rüptüre interstisyel gebeliklerde maternal mortalite riski diğer tubal gebeliklere göre 2-5 kat fazladır. İnterstisyel ektopik gebelikte erken tanı ve tedavi, rüptüre bağlı morbidite çok yüksek olduğundan dolayı çok önemlidir. Kornual gebeliğin yönetimine örnek gösterilebilecek nitelikte bir hastaya medikal, diğer hastaya cerrahi tedavi uygulanışı literatür eşliğinde incelendi.
Ectopic pregnancy, in which the gestational sac is outside the uterine cavity, is the most common life-threatening emergency in early pregnancy. Interstitial ectopic pregnancy defined as the ectopic gestation developing in the uterine part of the fallopian tube is rare, occuring in 2-4% of all ectopic pregnancies. It tends to rupture at a more advanced stage of gestation compared to tubal ectopic pregnancy; and when ruptured, hemorrhage is usually profound. The maternal mortality rate of ruptured interstitial pregnancy is 2-5 times higher than that of tubal ectopic pregnancy. Early diagnosis and treatment of interstitial ectopic pregnancy is particularly important because of the high morbidity associated with its rupture. As two examples of the management of cornual pregnancy; medical treatment was performed in one patient and surgical treatment was done in the other patient, both were examined in the light of literature.
Ectopic pregnancy, in which the gestational sac is outside the uterine cavity, is the most common life-threatening emergency in early pregnancy. Interstitial ectopic pregnancy defined as the ectopic gestation developing in the uterine part of the fallopian tube is rare, occuring in 2-4% of all ectopic pregnancies. It tends to rupture at a more advanced stage of gestation compared to tubal ectopic pregnancy; and when ruptured, hemorrhage is usually profound. The maternal mortality rate of ruptured interstitial pregnancy is 2-5 times higher than that of tubal ectopic pregnancy. Early diagnosis and treatment of interstitial ectopic pregnancy is particularly important because of the high morbidity associated with its rupture. As two examples of the management of cornual pregnancy; medical treatment was performed in one patient and surgical treatment was done in the other patient, both were examined in the light of literature.
Açıklama
Anahtar Kelimeler
Cerrahi tedavi, interstisyel ektopik gebelik, kornual gebelik, medikal tedavi, Cornual pregnancy, interstitial ectopic pregnancy, medical treatment, surgical treatment
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
2
Künye
Atıgan, A. ve Gök, S. (2020). Kornual gebelikte iki olguda iki tedavi yöntemi / Two treatment methods in two cases of cornual pregnancy. Maltepe Tıp Dergisi, Maltepe Üniversitesi. 12(2), s. 63-66.
