İsmet HORTU, Burak ZEYBEK, Ahmet Mete ERGENOĞLU, Ali AKDEMİR, Ahmet Özgür YENİEL

Histeroskopik polipektomi esnasında uterin rüptür

Uterin e rupture during hysteroscopic polypectomy

Histeroskopi ; servikal kanal, uterin kavite ve tubal ostiumların doğrudan gözlenebildiği, ofis şartlarında da kolaylıkla uygulanabilen, güvenilir bir endoskopik işlemdir. Menoraji, konjenital uterin anomaliler, intrauterin sineşi gibi birtakım patolojilerde aynı gün içerisinde hastaneye yatış gerektirmeden hem diagnostik hem de terapötik amaçla başa rılı bir şekilde uygulanabilir. Güvenli bir işlem olarak kabul edildiği için, pratikte küçük müdahale olarak isimlendirilse de, işlem esnasında uterin rüptür gibi hayatı tehdit edebilecek ciddi komplikasyonlar ortaya çıkabilir. Bu yazıda, 37 yaşındaki bir hastada histeroskopik polipektomi işlemi sırasında gelişen uterin rüptür sunulm aktadır. Anahtar Sözcükler : E ndometrial polip, h isteroskopi, uterin rüptür. Abstract Hysteroscopy is an endoscopic procedure which allows viewing directly the inside of the uterine cavity, cervical canal and tubal ostiums, and it can be performed safely in the office setting. This procedure gives the opportunity to both diagnose and treat frequent intrauterine pathologies such as menorrhage, congenital abnormalities and synechiae at the same day without hospitalization. Although it is a safe procedure and can be considered as a simple intervention in routine clinical practice, some rare life threatening complications might also occur, such as an uterine rupture. In this report, an uterine rupture during hysteroscopic polypectomy in a 37 year-old patient is presented.

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