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Rüptüre Olmamış Kornual Gebeliğin İntravenöz Methotrexate İle Başarılı Tedavisi: Olgu Sunumu

Successful Treatment of Unruptured Cornual Pregnancy Usıng Intravenous Methotrexate: A Case Report

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2007

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Keywords (Original Language):

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Abstract (2. Language): 
Cornual pregnancy, which is unusual type of ectopic pregnancy, comprises 2-4% of all ectopic pregnancies. Its morbidity and mortality are directly related to the length of time before diagnosis. Early diagnosis and effective treatment are essential to prevent patient from poor outcome. This paper presents a case of a cornual pregnancy diagnosed in the 5th week of gestation. Intravenous double dose Methotrexate (50 mg/m2) was used successfully in the treatment and follow-up was carried out using transvaginal ultrasound and serial B-hCG estimations.
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Abstract (Original Language): 
Ektopik gebeliğin sık karşılaşılmayan bir tipi olan kornual gebelik, tüm ektopik gebelik olgularının %2-4’ünü oluşturmaktadır. Morbidite ve mortalitesi direkt olarak tanıdan önce geçen sürenin uzunluğu ile ilişkilidir. Hastayı kötü sonuçtan korumada erken tanı ve etkili tedavi esasdır. Bu makalede amaç 5. gebelik haftasında tanı alan bir kornual gebelik vakasını sunmaktadır. Tedavide intravenöz çift doz Methotrexate (50 mg/m2) başarıyla kullanıldı ve izlem transvajinal ultrason ve seri B-hCG ölçümleri ile gerçekleştirildi.
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65-67
  • Turkish

REFERENCES

References: 

1. Kerr LM, Anderson DF. Angular pregnancy: A clinical entity. Br Med J 1934; 1: 1113-
4
2. Moon HS, Choi IJ, Park YH, Vim SG. New simple endoscopic operations for
interstitial pregnancies. Am J Obstet Gynecol 2000; 182: 114-21
3. Bond AL, Grifo JA, Chervenak FA. Term interstitial pregnancy with uterine torsion:
sonographic, pathologic, and clinical findings. Obstet Gynecol 1989; 73: 857-9
4. Mattingly RF, Thompson JD. Te Lindes operative gynecology, 6th edition,
Philadelphia: JP Lippincott, 1985; 439.
5. Robin M. F. van der Weiden Veronique H. M. Karsdorp. Recurrent cornual
pregnancy after heterotopic cornual pregnancy successfully treated with systemic
methotrexate. Arch Gynecol Obstet 2005; 273: 180-1
6. Maliha WE, Gonella P, Degnan EJ. Ruptured interstitial pregnancy presenting as an
intrauterine pregnancy by ultrasound. Ann Emerg Med 1991; 20: 910-2
7. Brewer H, Gefroh S, Munkarah A, Hawkins R, Redman ME. Asymptomatic uterine
rupture of a cornual pregnancy in the third trimester: a case report. J Reprod Med
2005; 50: 715-8
8. Coady DJ, Synder JR, Golstein SR. Ultrasound diagnosis of interstitial pregnancy. NY
State J Med 1985; 85: 655-6
9. Jafri SZ, Loginsky SJ, Bouffard JA. Sonographic detection of interstitial pregnancy.
JCU 1987; 15: 253-7
10. Chou MM, Tseng JJ, Yi YC, Chen WC, Ho ES. Diagnosis of an interstitial pregnancy
with 4-dimensional volume contrast imaging. Am J Obstet Gynecol. 2005; 193: 1551-
3
11. Taylor KJW, Ramos IM, Feyock AL. Ectopic pregnancy: Duplex Doppler
demonstration. Radiology 1989; 173: 93-7
12. Fernandez H, De Ziegler D, Bourget P, Feltain P, Frydman R. The place of
methotrexate in the management of interstitial pregnancy. Hum Reprod 1991; 6: 302-
6
13. Karsdorp VHM, Van der Veen F, Boer-Meisel ME, Kenemans P. Successful
treatment with methotrexate of five interstiatial pregnancies. Hum Reprod 1992; 7:
1164-9
14. Voight R.R, van der Veen F, Karsdorp VHM, Hogerzeil HV, Ketting BW. Treatment
of interstitial pregnancy with methotrexate: report of an unsuccessful case. Hum
Reprod 1994; 9: 1576 -9
15. Donnez J, Nisolle M. Endoscopic management of ectopic pregnancy. Baillieres
Clinical Obstetrics and Gynaecology 1994; 8: 707 -22
16. Gezer A, Mutlu H. Laparoscopic management of cornual pregnancy without sutures:
Arch Gynecol Obstet 2004; 270: 194-6
17. Y Morita, O Tsutsumi, M Momoeda, Y Taketani. Cornual pregnancy successfully
treated laparoscopically with fibrin glue hemostasis. The American College of
Obstetricians and Gynecologists 1997; 90: 685-7
18. Reich H, Johns DA, DeCaprio J, McGlynn F, Reich E. Laparoscopic treatment of
109 consecutive ectopic pregnancies. J Reprod Med 1988; 33: 885-90
19. Tulandi T, Vilos G, Gomel V. Laparoscopic treatment of interstitial pregnancy:
Obstet Gynecol 1995; 85: 465 -7
20. Katz S and Lurie S. Laparoscopic cornuostomy in the treatment of interstitial
pregnancy with subsequent hysterosalpingography. Br J Gynaecol Obstet 1997; 104:
955-6
21. Dilbaz S, Katas B, Demir B, Dilbaz B. Treating cornual pregnancy with a single
methotrexate injection: a report of 3 cases. J Reprod Med 2005; 50: 141-4
22. Karen Jermy, James Thomas, Alex Doo, Tom Bourne. The conservative management
of interstitial pregnancy. BJOG 2004; 111: 1283-8

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