SavedAdd your journal

Journals / Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2015 / Cilt: 26 - Sayı: 2

Mullerian Anomaly and Ectopic Pregnancy: A Case Report

Mülleryan Anomali ve Ektopik Gebelik: Olgu Sunumu

Mehmet ŞİMŞEK
Ekrem SAPMAZ
Banu KUMBAK
Remzi ATILGAN
Zehra Sema ÖZKAN
Melike BAŞPINAR
Pages
169–172
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The histopathologic evaluation was reportedas Arias-Stella reaction.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A 40-year-old multiparous female in her six th week of preg- nancy presented to our clinic with ex treme vaginal bleeding.On physical examination, the patient had cervical blood clots,normal uterine size, and no abdominal guarding or rebound.
📊
Key Findings & Data:The val- ues of β-hCG, progesterone, and hemoglobin were 40704 mIU/ mL, 15.5 ng/mL, and 9. 1 gr/dL, respectively.
💡
Conclusion & Impact:The histopathologic evaluation was reportedas Arias-Stella reaction.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A 40-year-old multiparous female in her six th week of preg- nancy presented to our clinic with ex treme vaginal bleeding.On physical examination, the patient had cervical blood clots,normal uterine size, and no abdominal guarding or rebound. Adouble endometrial ring and irregular gestational sac on theleft cavity were detected via transvaginal ultrasound. The val- ues of β-hCG, progesterone, and hemoglobin were 40704 mIU/ mL, 15.5 ng/mL, and 9. 1 gr/dL, respectively. The left uterine cav- ity was unable to be reached; consequently, therapeutic curet- tage procedure was not successful. Endometrial sampling wastaken from only the right endometrial cavity and was sent forpathologic examination. Systemic methotrexate was adminis- tered weekly for regression of the cornual gestational sac. OnDay 28 of second dose methotrexate treatment, β-hCG levelwas decreased to 2.35 mIU/mL and gestational sac regressedspontaneously. The histopathologic evaluation was reportedas Arias-Stella reaction.

Özet

Kırk yaşında, multipar ve son adet tarihine göre altı hafta ge- beliği olan hasta aşırı vajinal kanama şikayetiyle kliniğimizebaşvurdu. Jinekolojik muayenesinde serviksten pıhtılı yoğunkanama, normal cesamette uterus saptanan hastanın karınmuayenesinde rebound ve defans yoktu. Transvajinal ultra- sonografik değerlendirimde çift endometrial ring ve sol ka- vite yerleşimli düzensiz anembriyonik gebelik kesesi izlendi.Beta-hCG 40704 mIU/mL, progesteron 15.5 ng/mL ve he- moglobin 9.1 gr/dL idi. Küretaj işleminde sadece sağ kaviteyegirilebildi, sol kaviteye girilemedi ve gebelik kesesi boşaltılamadı. Sağ endometrial kaviteden alınan örnek patolojik incelemeye gönderildi. Bikornuat uterusta kornual yerleşimli erken gebelik tanısı konulan vakaya iki doz haftalık metotreksattedavisi yapıldı. Sonrasında ayaktan takibe alınan hastanınβ-hCGsi ikinci doz metotreksat tedavisinin 28. gününde 2.35mIU/mle indi ve gebelik kesesinde spontan regresyon izlendi. Patoloji sonucu aries-stella reaksiyonu olarak rapor etti.

🔖

Cite This Article

ŞİMŞEK, M., SAPMAZ, E., KUMBAK, B., ATILGAN, R., ÖZKAN, Z. S., BAŞPINAR, M. (2022). Mullerian Anomaly and Ectopic Pregnancy: A Case Report. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 26 - Sayı: 2, 169–172. https://ajindex.com/articles/571309

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Troiano RN, McCarthy SM. Mullerian duct anomalies: im- aging and clinical issues. Radiology 2004;233(1):19–34
  2. Ashton D, Amin HK, Richart RM, Neuwirth RS. The inci- dence of asymptomatic uterine anomalies in women undergoing transcervical tubal sterilization. Obstet Gy- necol 1988;72(1):28–30
  3. Byrne J, Nussbaum-Blask A, Taylor WS, Rubin A, Hill M, O’Donnell R, et al. Prevalence of Müllerian duct anomalies detected at ultrasound. Am J Med Genet 2000;94(1):9–12
  4. Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update 2001;7(2):161–74
  5. Raga F, Bauset C, Remohi J, Bonilla-Musoles F, Simón C, Pellicer A. Reproductive impact of congenital Müllerian anomalies. Hum Reprod 1997;12(10):2277–81
  6. Pellerito JS, McCarthy SM, Doyle MB, Glickman MG, DeCherney AH. Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal sonography, and hysterosalpingography. Radiology 1992;183(3):795–800
  7. Nicolini U, Bellotti M, Bonazzi B, Zamberletti D, Candiani GB. Can ultrasound be used to screen uterine malforma- tions? Fertil Steril 1987;47(1):89–93
  8. Barnhart KT, Sammel MD, Gracia CR, Chittams J, Hum- mel AC, Shaunik A. Risk factors for ectopic pregnancy in women with symptomatic first-trimester pregnancies. Fertil Steril 2006;86(1):36–43
  9. Barnhart KT. Clinical practice. Ectopic pregnancy. N Engl J Med 2009;361(4):379–87
  10. Mayer RB, Yaman C, Ebner T, Shebl O, Sommergruber M, Hartl J, et al. Ectopic pregnancies with unusual location and an angular pregnancy: Report of eight cases. Wien Klin Wochenschr 2012;124(5-6):193–7
  11. Kalkat RK, Baxter AD, Thomson AJ. Heterotopic preg- nancy in non-communicating horn of bicornuate uter- us: a novel management approach. J Obstet Gynaecol 2012;32(1):101–2
  12. Singh N, Singh U, Verma ML. Ruptured bicornuate uterus mimicking ectopic pregnancy: A case report. J Obstet Gynaecol Res 2013;39(1):364–6
  13. Jayaprakash S, Muralidhar L, Sampathkumar G, Sex- sena R. Rupture of bicornuate uterus. BMJ Case Rep 2011;2011
  14. Pennes DR, Bowerman RA, Silver TM. Congenital uter- ine anomalies and associated pregnancies: findings and pitfalls of sonographic diagnosis. J Ultrasound Med 1985;4(10):531–8
  15. Santos XM, Krishnamurthy R, Bercaw-Pratt JL, Dietrich JE. The utility of ultrasound and magnetic resonance imaging versus surgery for the characterization of müllerian anomalies in the pediatric and adolesc