Esra ÇELİK YAŞAR, Yeliz DÖNMEZ, Şevki ÇELEN, Ebru ERSOY, Ali Özgür ERSOY

β-hCG Sıfırlanmasına Yakın Dönemde Tubal Rüptür Gözlenen Ektopik Gebelik, Olgu Sunumu

Ektopik gebelik teşhisi konulan ve β-hCG insan koryonik gonadotropin hormonunun beta alt birimi düzeyi 8696 mIU/ml iken metotreksat tedavisi verilen 30 yaşındaki bir kadın hasta, ayaktan takip edildi. Ultrason ve laboratuar testleri ile aralıklı olarak değerlendirildi. Hasta günlük hayatına geri döndü. β-hCG düzeyleri minimal iken ve tedavinin 41. gününde hasta karşımıza akut batın içi kanama ile geldi. Operasyonda, sol tuba arka kısım rüptürü gözlendi ve sol salpenjektomi yapıldı.

Anahtar Kelimeler:

Ektopik gebelik, metotreksat, β-hCG, rüptür

Tubal Rupture After Decrease Of β-hCG Near To Zero In Ectopic Pregnancy, A Case Report

A 30 years old woman was diagnosed as ectopic pregnancy and β-hCG beta subunit of human chorionic gonadotropin hormone titer was 8696 mIU/ml. She was treated with methotrexate, as outpatient treatment. During follow-up ultrasonographic examinations and laboratory tests, she continued routine normal life. On 41st day of treatment, she admitted to emergency room with an acute abdominal hemorrhage. During laparotomic investigation, rupture on the posterior wall of left salphinx was determined and left salpingectomy was performed.

Keywords:

Ectopic pregnancy, methotrexate, β-hCG, rupture,

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