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    A case of bifocal endometriosis involving a pfannenstiel incision
    (Studio K, 2011) Sidik, Evsen Mehmet; Erdal, Sak Muhammet; Yalinkaya, Ahmet; Firat, Ugur; Nur, Caca Fatma
    A 25-year-old woman was referred to our clinic for atypical cyclic pain and masses at both ends of a Pfannenstiel incision scar Ultrasound of the anterior abdominal wall showed two masses. Both masses were hypoechoic, heterogeneous lesions located at opposite ends of the scar The lesions were surgically excised with. Microscopic examination revealed endometrial gland structures with endometrial stroma in fibroadipose tissue in sections of both specimens indicative of endometriosis. Incisional endometriosis (IE) is a form of extrapelvic endometriosis especially in scars of obstetric or gynecologic surgery IE may be multifocal at surgical scars. We report the a case of bifocal incisional endometriosis in Pfannesteil scar Whole scar evaluation should be done for incisional endometriosis and surgical excision should be performed for treatment.
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    Diploid karyotype partial mole coexisting with live term fetus - Case report and review of the world literature
    (Via Medica, 2012) Erdal, Sak Muhammet; Ender, Soydinc Hatice; Siddik, Evsen Mehmet; Sibel, Sak; Ugur, Firat
    A partial molar pregnancy of diploid karyotype coexisting with live term fetus is a rare entity Most instances of partial mole are triploid and only a few eases of diploid partial moles with term delivery have been reported. Here, we report a case of partial mole concomitant with a 37-week live fetus. Postpartum karyotype of the placenta and the fetus revealed both as 46XX. Histological examination of the placenta showed a partial hydatidiform mole. We discuss the diagnosis based on presenting clinical picture and proper management of signs and symptoms of partial molar pregnancy coexisting with live term fetus and diploid karyotype, coupled with a review of the literature.
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    Internal Iliac Artery Ligation for Severe Postpartum Hemorrhage
    (Via Medica, 2012) Siddik, Evsen Mehmet; Erdal, Sak Muhammet; Ender, Soydinc Hatice; Serdar, Basaranoglu; Cetin, Bakir; Sibel, Sak; Talip, Gul
    Objective: To evaluate the outcomes of bilateral internal iliac artery ligation (IIAL) in severe postpartum hemorrhage (PPH). Design: Multi-center, retrospective study Methods: The study was performed from January 2005 to December 2010, at the Obstetrics and Gynecology Clinic, Dicle University Medical Faculty and Maternity Hospital, Diyarbakir, Turkey Life-threatening cases of severe postpartum hemorrhage, which could not be controlled with conservative medical and surgical treatments and finally managed with IIAL, were retrospectively evaluated. Results: Totally 53 patients who underwent IIAL procedures were included in the study All patients were hemodynamically unstable. The mean shock index and transfused units of blood were 1.17+/-0.46, 5.49+/-3.04, respectively Uterine atony was the leading cause of severe postpartum hemorrhage and the need for IIAL. Coagulopathy developed in 26 (49.1%) patients during the postoperative follow-up period. Uterus was preserved in 17 (32.0%) cases. Three patients died of complications and/or morbidity associated with hemorrhage. Conclusion: Serious PPH is most frequently associated with uterine atony and IIAL should be considered in cases with severe PPH unresponsive to other treatment modalities. If, in the antenatal period, patients have risk factors of postpartum hemorrhage, they must be transferred to appropriate centers to prevent a possibly fatal outcome.