Browsing by Author "Acar, Hicran"

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Conservative Treatment of a Placenta Accreta Case: Partial Segmental Uterine Resection
(Aras Part Medical int Press, 2016) Acar, Hicran; Verit, Fatma Ferda; Baydogan, Seyda; Cetin, Orkun; Kurdoglu, Mertihan
Introduction: Placenta accreta (PA) is defined as the penetration of trophoblastic tissue into the myometrium. We aimed to report a case of PA which was successfully managed with partial segmental resection of uterus. Case Presentation: A 23 years old women gravida 2, parity 1, referred to our hospital for placental retention after vaginal delivery. The intraoperative exploration showed that the placenta remained in the right part of the uterine. According to these findings, the initial diagnosis was PA. The placenta and the uterine wall were removed in one piece. The uterine wall was reconstructed by vicyrl no: 1 in a three layer closure. Bilateral uterine artery ligation was performed in order to prevent excess uterus bleeding. Then, modified b-lynch suture was performed for prophylaxis of atonia. Conclusion: Nowadays, conserving the uterus, avoiding the possibility of hemorrhage and making future pregnancies possible are the main objectives of conservative treatments in PA. Partial segmental uterine resection is an alternative, conservative and acceptable management option in selected cases of PA.
A Rare Cause of Fetal Neck Mass: Cervical Lymphangioma
(Aras Part Medical int Press, 2016) Acar, Hicran; Bakirci, Isil Turan; Baksu, Basak; Cetin, Orkun; Kurdoglu, Mertihan
Introduction: Fetal neck masses are rare. In general, cystic hygroma is the most frequent form of fetal neck masses. It is essential to differentiate between different pathologies since this will affect prenatal counselling, antenatal and postnatal management. We aimed to present a case of cervical lymphangioma who was referred to our perinatology outpatient clinic with a diagnosis of an occipital encephalocele. Case Presentation: A 26-year-old nulliparous woman was referred to our perinatology clinic at 38 weeks' gestation with an ultrasound diagnosis of occipital encephalocele so that postnatal surgery could be planned at our hospital. During obstetric ultrasonography examination, we identified a 4.7x4.5 cm, multiloculated cystic mass on the left lateral side of the fetal neck. The provisional diagnosis was lymphangioma. Fetal magnetic resonance (MR) revealed a multiloculated cystic mass with smooth counters of 4.5x3.5x3.0 cm in size, originating from the soft tissues of the left side of the neck and it was not connected with the cervical spinal canal. The pathology report confirmed cervical lymphangioma. Conclusions: We would like to highlight the importance of differential diagnosis and follow up scans for any neck mass identified during scan to reach the final accurate diagnosis. This will enable that fetal neck masses could be diagnosed correctly in a more cautious manner.