Yusuf ÜSTÜN, Ilgın TÜRKÇÜOĞLU, Yaprak ÜSTÜN ENGİN, Hale KIRIMOĞLU

Combined tubal and ovarian ectopic pregnancies in one patient after in vitro fertilization

İntrasitoplazmik sperm enjeksiyonu-embryo transferi siklusundan sonra aynı tarafta gelişen ovaryan- tubal ikiz ektopik gebelik olgusu bildirilmiştir. Vaka, alt kadranlarda karın ağrısı şikayeti ile, 3 embryo transferinden 27 gün sonra ektopik gebelik şüphesi ile kliniğimize refere edildi. Transvajinal ultrasonografide sol adneksiyal alanda içerisinde yolk kesesi bulunan 17 mm gestasyonel kese ve 15 mm eko-kompleks ovaryan kitle tesbit edildi. Laparotomide, sol adnekste 2 cm rüptüre hemorajik ovaryan kitle ve 2 cm intakt fimbrial ektopik gebelik ile uyumlu kitle görüldü. Sol parsiyel salfenjektomi ve sol overe wedge rezeksiyon yapıldı. Histopatoloji incelemede hem over dokusunda hem de fallopi tüpünde koryonik villusların varlığı gösterildi.

İn vitro fertilizasyondan sonra aynı hastada kombine tübal ve ovaryan ektopik gebelikler

A case of twin ectopic ovarian-tubal pregnancy located at the same side after an intracytoplasmic sperm injection-embryo transfer cycle is reported. The case was refered to our clinic for suspected ectopic pregnancy 27 days later the transfer of 3 embryos, with lower abdominal pain. Transvaginal ultrasound scan revealed 17 mm gestational sac with a yolk sac inside and a 15 mm echocomplex ovarian mass at the left adnexa. At laparotomy a ruptured 2 cm ovarian hemorrhagic mass and an unruptured 2 cm fimbrial ectopic pregnancy was found at the left adnexa. A left partial salphengectomy and wedge resection of the left ovary was performed. The histopathology showed the presence of chorionic villi both in the ovarian tissue and the left fallopian tube.

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