Bilateral Tubal Faktör Nedenli Yardımla Üreme Tedavisi Uygulanan İki Kadında Endometriyum Tüberkülozu Tanısı: Olgu Sunumu
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Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
Attribution 3.0 United States
Özet
Genital tüberküloz (tbc) kadın infertilitesinin önemli bir nedeni olup son yıllarda primer ve sekonder infertilite bulunan olgularda daha sık tanınmaya başlamıştır. Bu yazıda tubal faktör infertilitesi olan ve daha önce birçok kez yardımla üreme tedavisi uygulanan iki hastada saptanan endometriyal tbc olgusu bildirilmiştir. Tubal faktör infertilitesi nedeniyle yardımcı üreme tedavileri uygulanmasına rağmen gebelik elde edilemeyen iki olgu implantasyon başarısızlığınının araştırılması için laparoskopi ve histeroskopi ile değerlendirilmiştir. Yardımla üreme tedavilerinde tekrarlayan başarısızlık görülen iki hastaya ofis histeroskopi uygulanmış ve işlem esnasında alınan endometrial örneklerin histopatolojik incelemesi granulomatöz endometrit olarak sonuçlanmıştır. Olguların birinde endometrial doku kültüründe Mycobacterium tuberculosis üremesi gözlenmiştir.Her iki olguya da tüberküloza yönelik tedavi başlanmıştır. : Bilateral tubal faktörü olan olgularda genital tbc ayırıcı tanıda düşünülebilir. Böylesi olgularda endometrial kavite değerlendirilmeli ve histopatolojik inceleme için endometrial örnek alınmalıdır.
Genital tuberculosis (tbc) is an important cause of female infertility and in recent years, more women are being diagnosed with genital tbc in primary and secondary infertility evaluation. This paper presents the diagnosis of endometrial tbc in two women with tubal factor infertility that underwent several assisted reproductive treatment cycles previously. Two women, who underwent several failed assisted reproductive treatment cycles previously in other hospitals due to tubal factor infertility, were evaluated with laparoscopy and hysteroscopy in order to reveal the cause of implantation failure. Office hysteroscopy was scheduled in both women in order to reveal the cause of recurrent implantation failure. Endometrial biopsy was taken at the end of the procedure and histopathological examination revealed granulomatous endometritis in both of the cases. Mycobacterium tuberculosis was shown with endometrial tissue culture in one of the cases. Anti-tuberculosis therapy was initiated in both women. In cases with bilateral tubal factor infertility, genital tbc should be considered in the differential diagnosis. Endometrial cavity should certainly be evaluated in women with bilateral blocked tubes and endometrial biopsy be taken for histopathological examination.
Genital tuberculosis (tbc) is an important cause of female infertility and in recent years, more women are being diagnosed with genital tbc in primary and secondary infertility evaluation. This paper presents the diagnosis of endometrial tbc in two women with tubal factor infertility that underwent several assisted reproductive treatment cycles previously. Two women, who underwent several failed assisted reproductive treatment cycles previously in other hospitals due to tubal factor infertility, were evaluated with laparoscopy and hysteroscopy in order to reveal the cause of implantation failure. Office hysteroscopy was scheduled in both women in order to reveal the cause of recurrent implantation failure. Endometrial biopsy was taken at the end of the procedure and histopathological examination revealed granulomatous endometritis in both of the cases. Mycobacterium tuberculosis was shown with endometrial tissue culture in one of the cases. Anti-tuberculosis therapy was initiated in both women. In cases with bilateral tubal factor infertility, genital tbc should be considered in the differential diagnosis. Endometrial cavity should certainly be evaluated in women with bilateral blocked tubes and endometrial biopsy be taken for histopathological examination.
Açıklama
Turgut Özal Tıp Merkezi Dergisi
Anahtar Kelimeler
Genital Tüberküloz, İnfertilite, Tubal Faktör, Yardımla Üreme Tedavisi (YÜT), Genital Tuberculosis, Infertility, Tubal Factor, Assisted Reproductive Treatment (ART)
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Şahin, Levent; Albayrak, Mustafa; Çelik, Ebru ; Çelik, Ebru; Özkan, Zehra Sema ; Artaş, Gökhan; Aygün, Banu Kumbak ; (2012) Bilateral Tubal Faktör Nedenli Yardımla Üreme Tedavisi Uygulanan İki Kadında Endometriyum Tüberkülozu Tanısı: Olgu Sunumu,İnönü Üniversitesi Tıp Fakültesi Dergisi.
