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    Management of a viable ectopic pregnancy on caesarean scar after IVF-ET procedure: A case presentation
    (2012) Gezginç, Kazım; Karataylı, Rengin; Gök, Dilay; Acar, Ali
    To present the management of a viable ectopic pregnancy on caesarean scar following IVF-ET proce- dure. A 33-year old woman with gravida 2, parity 1 admitted to our outpatient clinic in her 8th weeks of gestation. She had a previous caesarean section 4 years ago. Transabdominal ultrasound examination revealed empty uterine cavity and cervical canal, but an intramural viable gestation near the cesarean scar. Laparotomy was performed. The gestational sac was bulging and thinning out the uterine wall an- teriorly at the scar site. We evacuated the products of conception and repaired scar. After 2 hours from the operation an abundant vaginal bleeding occurred and an emergent relaparatomy performed. No ac- tive bleeding focus could be detected but bilateral uterine arteries were ligated. As a result, caesarean scar pregnancy is a highly complicated type of ectopic pregnancy and should be kept in mind during rou- tine obstetric practice.
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    Recurrent hydatiform mole: Report of a case with fourth recurrence
    (2012) Karataylı, Rengin; Gezginç, Kazım; Gök, Dilay; Acar, Ali
    In this report, it is objected to demonstrate 4th recurrence of molar pregnancy in a patient with a past history of 3 suction curettages for 2 complete and 1 partial moles. A 31-year-old woman was referred to our hospital with diagnosis of mole. There was no history of consanguinity. The mother of the patient had history of molar pregnancy and both sisters had primary infertility and IVF failures. Karyotype analysis of the patient and her husband was normal. The calculated serum β-hCG level was 188000IU/ml and she had an endometrial thickness of 40mm with a crumb like image. Thyroid function tests were normal. Suction curettage was performed and histopathological examination revealed complete HM. The patient is still being followed up with serial serum β-hCG levels. Families who have recurrent molar pregnan cies should be informed about that subsequent pregnancies are at increased risk of having molar con- ception.