Primer ovaryan ektopik gebelikte tanı ve klinik yaklaşımı: Bir olgu sunumu ve literatürün gözden geçirilmesi

Primer ovaryan ektopik gebelik oldukça nadir görülüp tüm dış gebeliklerin %0,5-1\'ini oluşturur. İnsidansı 1/7000- 40000 gebeliktir. Spontan bir siklusta hiçbir predispozan faktör olmaksızın 40 yaşında bir hastada oluşmuş bir primer ovaryan ektopik gebelik olgusu sunacağız. Hasta akut batın belirti ve bulgularıyla preşok durumda acil kliniğimize başvurdu. Transvajinal ultrasonografide 30 mm çapında kistik sol ovaryan kitle tespit edildi. Müracaatında hemoglobin seviyesi 8,4g/dl ve serum bHCG seviyesi 2548 mlU/ml idi. Acil laparotomi ve over kama rezeksiyonu uygulandı. Histopatolojik olarak alınan materyalin yapılan çoklu kesilerinde birçok alanda over dokusu içine invaze olmuş koryon villusları izlenmiştir. Bu nadir olgunun etyolojisi, ayırıcı tanısı, klinik tanısı hakkında bilgi verilerek literatür gözden geçirilmiştir.

Anahtar Kelimeler:

Ektopik, gebelik, over

Diagnosis and clinical approach in primary ovarian ectopic pregnancy: A case report and review of the literature

Primary ovarian pregnancy is a rare type of extrauterine pregnancy with an incidence of 0.5-1% of all ectopic pregnancies. The incidence ranges from 1/40000 to 1/7000 deliveries. We report a primary ovarian pregnancy in a spontaneus conception cycle in a 40-year-old woman with no predisposing factor. The patient was admitted to the emergency clinic with signs and symptoms of acute abdomen with heamoperitoneum , in a preshock state. An emergency laparotomy and wedge resection of the ovary was performed. Histopathologic examination showed chorion villi embedded in the ovarian tissue in multiple sections in different areas of the material. This is a discussion about this rare phenomenon, its ethiology, differential and clinical diagnosis and a review of literature.

Keywords:

Ectopic, pregnancy, ovary,

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