Berna SEÇKİN, Ayla AKTULAY, Yaprak ENGİN ÜSTÜN, Hüseyin YEŞİLYURT

Ovaryan Matür Kistik Teratom Ve Beraberinde Tubal Ektopik Gebelik

Matür kistik teratoma dermoid kist ve ektopik gebelik, reprodüktif dönemdeki kadınlarda sık görülen patolojiler olmakla birlikte, bu iki hastalığın aynı hastada görülmesi nadir rastlanan bir klinik durumdur. Bu olgu sunumunda, pelvik ağrı ve minimal vajinal kanama ile başvuran 26 yaşında nulligravid bir hastayı bildirmekteyiz. Detaylı jinekolojik değerlendirme ve görüntüleme tetkikleri sonucunda, aynı taraftaki adneksiyal bölgede tubal ektopik gebelik ve ovaryan dermoid kist tespit edildi. Ardından uygulanan laparoskopik cerrahide sol unrüptüre 2x2 cm tubal ektopik gebelik ve 9x7 cm ovaryan dermoid kist olduğu gözlendi. Salpingostomi ve total kistektomi yapıldı. Patolojik inceleme, ektopik gebelik ve dermoid kist tanılarını doğruladı. Cerrahi sonrası dönemde sorun saptanmadı. Bu vaka sunumunda, aynı hastada farklı jinekolojik patolojilerin bir arada bulunabileceğinin hatırda tutulması gerekliliği ve eksiksiz bir diagnostik incelemenin önemi vurgulanmaktadır.

Anahtar Kelimeler:

Dermoid kist, ektopik gebelik, laparoskopi, over

Mature Cystic Teratoma Of The Ovary Coexisting With Tubal Ectopic Pregnancy

Although mature cystic teratoma dermoid cyst of the ovary and ectopic pregnancy are common gynecologic disorders in women of reproductive age, the coexistence of these two pathologies is an unusual case. We present a 26-year-old nulligravid women with a history of pelvic pain and minimal vaginal bleeding. Detailed gynecologic examination and imaging studies revealed a simultaneous coexistence of mature cystic teratoma and ectopic tubal pregnancy in the same adnexa. She had undergone laparoscopic surgery. In the exploration, unruptured left tubal pregnancy 2x2 cm in the ampullary region and ipsilateral ovarian mature cystic teratoma measuring 9x7 cm were found. Salpingostomy and total cyst excision were performed. Pathological examination confirmed the diagnosis of ovarian dermoid cyst and ectopic pregnancy. Postoperative recovery was uncomplicated. The present report demonstrates the importance of considering the coexistence of different gynecologic pathologies in the same patient and clinical importance of an accurate diagnostic evaluation.

Keywords:

Dermoid cyst, ectopic pregnancy, laparoscopy, ovary,

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