Serkan KAHYAOĞLU, Nuri DANIŞMAN, Oktay KAYMAK, Şevki ÇELEN, Yavuz ŞİMŞEK, Hakan TİMUR

Ovarian Pregnancy at the 13th Weeks of Gestation: A Case Report

Ovaryan gebelik, gestasyonel kesenin over içerisine implante olduğu nadir bir ektopik gebelik türüdür. Tüm ektopik gebelikler içerisinde %0.5-3 oranında görülür. Sıklıkla tanı ya ilk trimester rutin ultrasonografisi sırasında ya da akut abdominal ağrı nedeni ile yapılan cerrahi girişimde konur. Biz bu vakada herhangi bir risk faktörü olmayan 13 haftalık ovaryan gebelik sunduk. Transvajinal ultrasonografik taramada sol ovaryan bölgede baş-popo mesafesi (CRL): 67 mm (13 hafta) canlı bir fetüs saptandı. Laparotomi esnasında içinde 13 haftalık fetüs içeren ruptüre over görüldü. Peroperatif 2 ünite taze kan transfüzyonu ile beraber sol ooforektomi yapıldı. Acil laparotomi ve eşzamanlı ooforektomi gibi cerrahi girişimleri gerektirebilen nadir bir klinik durum olarak ovaryan gebelik olasılığı daima akılda tutulmalıdır.

On Üçüncü Gebelik Haftasında Ovaryan Gebelik: Bir Olgu Sunumu

Ovarian pregnancy is a rare form of ectopic pregnancy in which the gestational sac is implanted within the ovary. The incidence is 0.5 to 3% of all ectopic gestations. Mostly diagnoses are made by the first trimester routine ultrasonography or during the operation for acute abdominal pain. In this case report, we present a 13 weeks spontaneous ovarian gestation who had no risks of ectopic pregnancy. On the transvaginal sonographic scan, an alive fetus with a crown-rump length measured 67 mm (13 weeks) was detected in the left ovarian region. A ruptured ovary which contained a fetus of 13 weeks gestation was observed during laparotomy. A left oophorectomy was performed with the transfusion of two units of fresh blood peroperatively. The possibility of ovarian pregnancy should always be kept in mind that emergent laparotomy with concurrent oophorectomy can be necessary surgical interventions for this rare clinical condition.

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