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ASLAN, ELİF

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ASLAN

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ELİF

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    Publication
    Meckel gruber syndrome, a case report
    (Taylor, 2015-01-01) Aslan, Kiper; Aslan, Elif Kulahçı; Orhan, Adnan; Atalay, Mehmet Aral; ASLAN, MÜNİR KİPER; ASLAN, ELİF; ORHAN, ADNAN; Atalay, Mehmet Aral; Uludağ Üniversitesi/Tıp Fakültesi/Kadın Hastalıkları ve Doğum Anabilim Dalı; 0000-0002-9277-7735; 0000-0002-6553-1350; 0000-0002-7558-8166; 0000-0002-9685-956X; AER-7173-2022; AAH-9694-2021; V-5292-2019; JRN-8064-2023; GBG-9889-2022
    Introduction: Meckel-Gruber Syndrome was first described by J R Meckel in 1822. It is an autosomal recessive disorder, and is caused by the failure of mesodermal induction. The typical triad of Meckel-Gruber Syndrome (MGS) involves meningo-encephalocele, polycystic kidneys and postaxial polydactyly. The worldwide incidence varies from 1 in 1.300 to 1 in 140.000 live births.Case: In this report, we present a case of MGS in which the diagnosis was made at 19 weeks of gestation based on ultrasonographic findings of the typical triad of the disease (encephalocele, polycystic kidneys, and polydactyly) These features were suggestive of the diagnosis of Meckel Gruber Syndrome (MGS). She had also placenta previa totalis. The patient was counselled regarding the lethal outcome of MGS. Unfortunately, the family did not approve the termination of pregnancy. At the 32nd week, she referred to hospital with complaints of vaginal bleeding and uterine contractions. An emergency cesarean section was perfomed due to plasental malposition. A 1380 gr, female fetus was delivered. First and 5th minute Apgar scores were 1 and 0, respectively. Consequently, the baby died after 45 minutes of neonatal resuscitation.Conclusion: MGS is a lethal disorder. One cannot speak about survival of the fetus because of the pulmonary hypoplasia. The parents should be counseled about prognosis of the fetus and the outcome. Counselers should strictly give information about the recurrence risk for the next pregnancies.
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    Publication
    An endometriosis patient presented with gross hematuria as a complication of the oocyte pick-up procedure
    (Sage Publications Ltd, 2016-10-01) KASAPOĞLU, IŞIL; Kasapoğlu, Işıl; Aslan, Elif Külahçı; ASLAN, ELİF; Uncu, Gürkan; UNCU, GÜRKAN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Kadın Hastalıkları ve Doğum Anabilim Dalı.; 0000-0002-6553-1350; AAT-3479-2021
    Purpose: To report a case of a 34-year-old female with endometriosis and a complication presented with gross hematuria due to bladder injury after transvaginal oocyte retrieval for in vitro fertilization.Case Report: A 34-year-old woman with endometriosis presented with gross hematuria 4 days after oocyte - retrieval and was conservatively followed up.Results: As an uncommon emerging situation after oocyte retrieval for in vitro fertilization procedure, gross hematuria is pointed as a complication with an endometriosis patient.Conclusions: Although a transvaginal approach is accepted as a safe and simpler technique for oocyte retrieval, complications like adjacent organ injury should be kept in mind. Especially in patients with endometriosis, in whom pelvic anatomy is distorted due to adhesions, oocyte pick-up procedure should be carried out more carefully.