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

Ovaryan Matür Kistik Teratom Ve Beraberinde Tubal Ektopik Gebelik: Olgu Sunumu

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.

Mature Cystic Teratoma Of The Ovary Coexisting With Tubal Ectopic Pregnancy: A Case Report

Although mature cystic teratoma (dermoid cyst) of the ovary and ectopicpregnancy are common gynecologic disorders in women of reproductiveage, the coexistence of these two pathologies is an unusual case. Wepresent a 26-year-old nulligravid women with a history of pelvic painand minimal vaginal bleeding. Detailed gynecologic examination andimaging studies revealed a simultaneous coexistence of mature cysticteratoma and ectopic tubal pregnancy in the same adnexa. She had undergone laparoscopic surgery. In the exploration, unruptured left tubalpregnancy 2x2 cm in the ampullary region and ipsilateral ovarian maturecystic teratoma measuring 9x7 cm were found. Salpingostomy and total cyst excision were performed. Pathological examination confirmedthe diagnosis of ovarian dermoid cyst and ectopic pregnancy. Postoperative recovery was uncomplicated. The present report demonstratesthe importance of considering the coexistence of different gynecologicpathologies in the same patient and clinical importance of an accuratediagnostic evaluation.

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