Kehamilan Ektopik Terganggu
Kehamilan Ektopik Terganggu
Kehamilan Ektopik Terganggu
TINJAUAN KASUS
Tgk Puspa Dewi Dewi, Meyla Risilwa
Abstract
Abstrak. Kehamilan ektopik terganggu adalah suatu kehamilan yang mengalami abortus ataupun
ruptur dengan tempat implantasi abnormal. Angka kejadian ini dapat meningkat seiring dengan
adanya risiko berupa faktor infeksi genitalia interna. Kami melaporkan satu kasus kehamilan
ektopik terganggu pada tuba kiri wanita 26 tahun yang datang dengan keluhan nyeri perut kiri.
Pasien datang dengan diagnosis awal kehamilan ektopik yang mengalami tanda akut abdomen
saat menjalani perawatan rumah sakit. Tanda akut abdomen ini dianalisis dengan pemeriksaan
fisik, laboratorium maupun USG transvaginal sehingga ditegakkan kehamilan ektopik terganggu.
Kemudian, pasien disegerakan menjalani tindakan operatif yaitu laparotomi salpingektomi.
Kata Kunci: Kehamilan Ektopik Terganggu, risiko
Abstract. Ruptured ectopic pregnancy is a pregnancy that had abortion or rupture with
abnormal implantation sites. The incidence increased because of risk factor like internal
genitalia infection. We report a case of woman, 26 y.o had diagnosis of ectopic pregnancy in the
left fallopian who presenting left abdominal pain. Patient present with early diagnosis of ectopic
pregnancy who had signs of acute abdomen while undergoing hospital treatment. Signs of acute
abdomen were analyzed by physical examination, laboratory and transvaginal ultrasound that
confirmed ruptured ectopic pregnancy. Then. patient underwent laparotomy salpingektomi
operative action.
Keywords: Ruptured ectopic pregnancy, risk
Keywords
Kehamilan Ektopik Terganggu, risiko; Ruptured ectopic pregnancy, risk
Full Text:
PDF
References
Daftar Pustaka
Prawirohardjo S. Kehamilan Ektopik dalam Ilmu Kebidanan Jakarta: Yayasan Bina Pustaka;
2011.
Stulberg D, Cain R. Ectopic Pregnancy Rates in The Medical Population American Journal of
Obstetric and Gynecology. 2013; 1:p.208-274.
Cunningham F, Grant N, Leveno K. Ectopic Pregnancy : William’s Obstetrics USA: The Mc
Graw – Hill Company; 2005.
Barash J H, Buchanan E M, Hillson C. Diagnosis and Management of Ectopic Pregnancy.
American Family Physician. 2014.
Clinical Practice Guideline: The Diagnosis and Management of Ectopic Pregnancy.Institute of
Obstetricians & Gynecologist. 2014. No:33.
Seeber BE, Barnhart KT. Suspected ectopic pregnancy [published correction appears in Obstet
Gynecol. 2006;107(4):955].Obstet Gynecol. 2006;107 (2 pt 1);399-413.
Autry AM. Medical Treatment of ectopic pregnancy: is there something new? Obstetric &
Gynecology. 2013; 122 (4):p. 733-734.
Shetty K S, Shetty K A. A Clinical Study of Ectopic Pregnancies in Atertiary Care Hospital of
Mangalore India. 2014; p.305-309.
Smith R. Netter’s Obstetrics and Gynecology. 2nd ed. Philadelphia: Saunders Elsevier; 2009.
Oron G and Tulandi T.”A pragmatic and evidence-based management of ectopic pregnancy”.
Journal of minimally invasive gynecology 20.4 (2013): 446-454.
Nowak-Markwitz E., et al. “Cutoff value of human chorionic gonadotoprin in relation to the
number of methotrexate cycles in the succesful treatment of ectopic pregnancy”. Fertil and steril
92.4 (2009):1203-1207.
“The Management of tubal pregnancy (reviewed 2010)”. Royal Collage of
obstetricans and gynecologists guidelines 21 (2004): 1-10.
Saranovic M., et al. “Ectopic Pregnancy and Laparoscopy”. Clinical and experimental obstetrics
and gynecology 41.3 (2014): 276-279.
Juneau C and Wright Bates G. “Reproductive outcomes after medical and surgical management
of ectopic pregnancy “. Clinical Obstetrics and Gynecology 55.2 (2012):455-460