SÜMEYRA NERGİZ AVCIOĞLU, Sündüz Özlem ALTINKAYA, EMRE ZAFER, SELDA DEMİRCAN SEZER, HASAN YÜKSEL

A ruptured 17 week right cornual gestation after failed termination of pregnancy

Kornual (interstisyel) gebelik oldukça hayati riski olan ektopik gebelik çeşitlerinden biridir. Tüm ektopik gebeliklerin %2-4'ünü oluşturmaktadır. İleri gebelik haftalarına kadar klinik olarak sessiz seyredebilir. Burada, başarısız bir gebelik terminasyonundan sonra, 17.gestasyonel haftada rüptüre olan bir sağ kornual gebelik olgusu sunulmuştur. Yirmi dokuz yaşında gravida 2, para 1, abortus 0 olan hasta, on iki saattir devam eden şiddetli karın ağrısı şikayetiyle acil servise başvurmuştur. Hastanın kan basıncı 50/20 mmhG, nabız 110/dak. idi. Acil koşullarda laparatomy uygulandı. Batın içerisinde yoğun hemorajik vasıfta mai izlendi. Lapratomi esnasında, abdominal kavitede, uterus sağ üst yan duvardan rüptüre olmuş 17 hafta gebelik haftasıyla uyumlu fetus gözlendi. Katastrofik şekilde sonuçlanan bu klinik tablo rüptüre sağ kornual gebelik ile uyumlu idi. Sağ kornual rezeksiyon ve onarım başarılı şekilde uygulandı

Başarısız gebelik tahliyesi sonrası 17. gebelik haftasında rüptüre olan sağ kornual ektopik gebelik

Cornual (interstitial) pregnancy is one of most hazardous type of ectopic pregnancy. It constitutes 2-4% of all ectopic gestations and may represent clinically stable until late gestational periods. In this case report, A ruptured right cornual gestation at the 17th week of gestation, following failed termination of pregnancy was presented. A 29-year-old woman, G2P1, presented to the emergency department with acute abdominal pain lasting for 12 hours. Her blood pressure was 50/20 mmHg, heart rate was 110 bpm. Emergent laparatomy was performed. In laparatomy, hemoperitoneum was observed. Intraoperatively, we encountered a right lateral wall ruptured uterus with a 17 week old fetus in the peritoneal cavity, suggesting a right cornual ectopic pregnancy which ended up as a catastrophic event. A cornual resection and repair was done successfully

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