Advanced Tubal Ectopic Pregnancy with Tubal Torsion
Journal of Gynecologic Surgery, cilt.31, sa.5, ss.296-298, 2015 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 5
- Basım Tarihi: 2015
- Doi Numarası: 10.1089/gyn.2015.0049
- Dergi Adı: Journal of Gynecologic Surgery
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.296-298
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: At least 90% of all ectopic pregnancies are located in the Fallopian tubes. Rupture rates differ according to localization of the ectopic masses. Isthmic ectopic pregnancies are more likely to rupture than ampullary ectopic pregnancies. Cornual pregnancies are capable of reaching further weeks of gestation. Abdominal ectopic pregnancies may even reach full-term, which is a very rare situation. Case: This article presents a case of an advanced unruptured tubal ectopic pregnancy reaching beyond the first trimester. A 36-year-old woman, gravida 4, para 2, curetage 1 was admitted to the emergency department of the Kanuni Sultan Suleyman Training and Research Hospital, in Istanbul, Turkey. She had severe abdominal pain and was admitted with clinical findings of a ruptured ectopic pregnancy. At exploration, an unruptured tubal ectopic pregnancy of 13 weeks and 3 days' duration was observed in the patient's right Fallopian tube during the operation. There was a fetus inside this Fallopian tube, with isolated tubal torsion. A right salpingectomy was performed. Results: This patient's postoperative recovery was uneventful, and she was discharged on the 3rd postoperative day. Conclusions: Localization of any pregnancy should be determined cautiously in order not to miss rare ectopic pregnancies and in order to decrease maternal morbidity and mortality.