Ectopic Pregnancy located at the Cesarean Scar

Yıl 2019, Cilt: 28 Sayı: 1, 28 - 40, 31.03.2019

Talip Karaçor , Berna Dilbaz , Mehmet Bülbül

Öz

The aim of our study is to review previous studies in literature on caesarean scar ectopic pregnancy since 1978; the year the first case was reported until March 2017, and to compare the current diagnostic and treatment methods used in management of caesarean scar ectopic pregnancy. Measurement of serum human chorionic gonadotropin levels, ultrasonography, doppler ultrasonography and sometimes magnetic resonance imaging are used for differential diagnosis of caesarean scar ectopic pregnancy. The most common treatment methods are; dilatation and curettage, local or systemic methotrexate application, selective uterine artery embolization and hysterotomy. 

Anahtar Kelimeler

Cesarean scar ectopic pregnancy, diagnosis, treatment, management, success rate

Sezaryen Skar Yeri Ektopik Gebeliği

Öz

Çalışmamızın amacı sezaryen skar ektopik gebeliğinin ilk olgu sunumu olarak yayınlandığı 1978 ile Mart 2017 tarihleri arasında literatürde yer almış çalışmaları gözden geçirmek ve, sezaryen skar ektopik gebeliğinin yönetiminde kullanılan güncel tanı ve tedavi yöntemlerinikarşılaştırmaktır. Sezaryen skar ektopik gebeliğinin ayırıcı tanısında serum human chorionic gonadotropin düzeyi saptanması, ultrasonografi, doppler ultrasonografi ve bazı durumlarda da manyetik rezonans görüntüleme kullanılmaktadır. Standart bir tedavi yöntemi tanımlanmamakla birlikte en sık olarak dilatasyon ve küretaj, lokal veya sistemik metotreksat uygulanması, selektif uterin arter embolizasyonu ve histerotomi uygulanmaktadır.

Anahtar Kelimeler

Skar yeri gebeliği, tanı, tedavi, yönetim, başarı oranı

Kaynakça

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