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  • Küçük Resim
    Öğe
    A retrospective review of non-tubal ectopic pregnancies in a tertiary unit in Turkey
    (DergiPark, 2019) Tapısız, Ömer Lütfi; Cavkaytar, Sabri; Aytan, Hakan; Tuncay, Görkem; Var, Turgut; Yeşilyurt, Hüseyin
    Objective: Although non-tubal ectopic pregnancies represent 5% or less of all ectopic pregnancies, they account for approximately 20% of the mortalities attributed to ectopic gestations. Diagnosis and management of non-tubal ectopic pregnancies are clinically challenging and the treatment alternatives have traditionally included major surgical procedures, which affect future fertility. The aim of this study was to establish the incidence of non-tubal ectopic pregnancies in a tertiary unit in Turkey and to elucidate any differences that may discriminate patients from those with tubal ectopic pregnancy. Material and Method: This was a retrospective review of cases; comparing patient features and special investigation in patients with tubal and non-tubal ectopic pregnancy. The records of the 197 histologically confirmed ectopic pregnancies and two cervical and one term abdominal gestations were analyzed. Results: Eleven of 200 (5.5%) ectopic pregnancies were found to be non-tubal and the remaining 189 were tubal pregnancies. There was no significant difference between non-tubal and tubal ectopic pregnancies except for vaginal bleeding and rectal pain symptoms. Vaginal bleeding and rectal pain were observed significantly more frequent in the non-tubal group (p=0.004 and 0.016, respectively). Conclusion: Non-tubal location may be considered in patients with the suspicion of ectopic pregnancy especially if there are vaginal bleeding and rectal pain.