Nerupturirana retroperitonealna trudnoća u levom širokom ligamentu

  • Ranko Miodrag Kutlešić Department of Gynecology and Obstetrics, Clinical Center of Niš, Niš, Serbia; Faculty of Medicine, University of Niš, Niš, Serbia
  • Bojan Lukić Faculty of Medicine, University of Niš, Niš, Serbia
  • Marija S. Kutlešić Center for Anesthesia, Clinical Center of Niš, Niš, Serbia
  • Jasmina Popović Faculty of Medicine, University of Niš, Niš, Serbia
  • Milan Stefanović Faculty of Medicine, University of Niš, Niš, Serbia
  • Predrag Vukomanović Faculty of Medicine, University of Niš, Niš, Serbia
  • Goran Lilić Department of Gynecology and Obstetrics, Clinical Center of Niš, Niš, Serbia
DOI: https://doi.org/10.2298/VSP150723160K
Ključne reči: pregnancy, ectopic||, ||trudnoća, ektopična, retroperitoneal space||, ||retroperitonealni prostor, laparoscopy||, ||laparoskopija, intraoperative complications||, ||intraoperativne komplikacije, gynecologic surgical procedures||, ||hirurgija, ginekološka, procedure,

Sažetak


Uvod. Retroperitonealna ektopična trudnoća je krajnje retko, ali moguće fatalno stanje zbog masivne hemoragije i predstavlja veliki izazov za kliničara. Prikaz bolesnika. Prikazali smo ranu retroperitonealnu trudnoću kod pacijentkinje sa carskim rezom u anamnezi, dijagnostikovane u šestoj nedelji gestacije, lokalizovanu u ligamentum latumu sa leve strane, primarno lečenu laparoskopski, pri čemu je načinjena konverzija u laparotomiju zbog masivnog intraoperativnog krvarenja sa mesta implantacije. Zaključak. Da bi se na vreme postavila dijagnoza retroperitonealne trudnoće, pre pojave obilnog krvarenja, neophodno je da se ima na umu ova mogućnost i pažljivo interpretira klinički i ultrazvučni nalaz. Nivoi β-humanog horionskog gonadotropina (β-HCG) u serumu koji rastu ili održavaju plato, a da nije identifikovana trudnoća u uterusu ili vanmaterična u jajovodu, treba da navedu na pomisao da se radi o ektopičnoj trudnoći neuobičajene lokalizacije.

Biografije autora

Ranko Miodrag Kutlešić, Department of Gynecology and Obstetrics, Clinical Center of Niš, Niš, Serbia; Faculty of Medicine, University of Niš, Niš, Serbia

docent

Katedra za ginekologiju i akušerstvo Medicinskog fakulteta Niš

Klinka za ginekologiju i akušerstvo Niš

 

Bojan Lukić, Faculty of Medicine, University of Niš, Niš, Serbia
specijalista ginekolog akušer
Marija S. Kutlešić, Center for Anesthesia, Clinical Center of Niš, Niš, Serbia
šef Odeljenja za anesteziju Klinike za ginekologiju i akušerstvo Niš
Jasmina Popović, Faculty of Medicine, University of Niš, Niš, Serbia

profesor

Katedra za ginekologiju i akušerstvo

Medicinski fakultet Univerziteta u Nišu

Klinka za ginekologiju i akušerstvo Niš

 

Milan Stefanović, Faculty of Medicine, University of Niš, Niš, Serbia

docent

Katedra za ginekologiju i akušerstvo

Medicinski fakultet Univerziteta u Nišu

Klinka za ginekologiju i akušerstvo Niš

 

Predrag Vukomanović, Faculty of Medicine, University of Niš, Niš, Serbia

docent

Katedra za ginekologiju i akušerstvo

Medicinski fakultet Univerziteta u Nišu

Klinka za ginekologiju i akušerstvo Niš

 

Goran Lilić, Department of Gynecology and Obstetrics, Clinical Center of Niš, Niš, Serbia

specijalista ginekologije i akušerstva

Klinka za ginekologiju i akušerstvo

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Objavljeno
2017/06/02
Broj časopisa
Vol. 74 Br. 2 (2017)
Rubrika
Prikaz bolesnika