İlkin YERAL, Nuri DANİŞMAN, Doğa SEÇKİN, Yavuz ŞİMŞEK

Spontaneous heterotopic pregnancy with term delivery of a live ınfant

Amaç: Spontan siklusta gelişen ve term doğumla sonuçlanan heterotopik gebelik olgusunu sunmak. Olgu: 21 yaşındaki primigravida hasta acil servisimize amenore ,abdominal ağrı ve vajinal kanama şikayetiyle başvurdu.TVUSG’de 8 haftalık intrauterin canlı gebelik ve sol tubal yerleşimli ektopik gebelik gözlendi.Ektopik gebeliğe laparoskopik salpingostomi uygulandı ve intrauterin gebelik sorunsuz bir şekilde terme kadar takip edildi.Sezeryan ile canlı sağlıklı fetus doğurtuldu. Tartışma: Heterotopik gebelik nadir fakat hayati tehlike yaratabilen bir durumdur. Erken gebelikte abdominal ağrı ve vajinal kanama yakınması olan hastalarda heterotopik gebelik ihtimali ayırıcı tanıda düşünülmelidir.

Termde canlı doğumla sonuçlanan spontan heterotopik gebelik

Objective: The aim of this report is to present a case of heterotopic pregnancy occurring in spontaneous cycle and ended up in term delivery. Case: A 21 year-old primigravida admitted to the emergency clinic with the complaints of amenorrhea, abdominal pain and vaginal bleeding. Transvaginal ultrasound scan showed an 8 weeks old live intrauterine pregnancy and a left tubal ectopic pregnancy. Laparoscopic salpingostomy was performed for ectopic pregnancy and intrauterine pregnancy was continued. The follow-up of the pregnancy was uneventful. A live healthy fetus was delivered by cesarean section at term. Conclusion: Spontaneous heterotopic pregnancy is a rare but life threatening condition and always must be considered in the differential diagnosis of patients with abdominal pain and vaginal bleeding during early pregnancy.

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