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2025, Number 1

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Acta Med 2025; 23 (1)

Ectopic chronic pregnancy

Soto ACE, Velázquez SM, Martínez RM, Hillary NA, Galicia GCE
Full text How to cite this article 10.35366/119358

DOI

DOI: 10.35366/119358
URL: https://dx.doi.org/10.35366/119358

Language: Spanish
References: 5
Page: 64-66
PDF size: 228.37 Kb.


Key words:

pregnancy, ectopic chronic pregnancy, endometriosis, endometrioma, benign pelvic tumor.

ABSTRACT

Introduction: chronic ectopic pregnancy is the extrauterine implantation with scarce chorionic villi and negative human chorionic gonadotropin (hCG). Endometriosis could be a risk factor for chronic ectopic pregnancy (CEP) due to inflammatory mechanisms. Transvaginal ultrasound reports a pelvic mass, and diagnostic laparoscopy is the gold standard with histopathological reports of degenerated chorionic villi and fibrosis. Case report: we present a 28-year-old woman with abdominal pain and a pelvic mass with negative hCG. A right ovarian cystectomy and salpingectomy were performed, reporting a CEP. Conclusion: endometriosis can be considered a risk factor for chronic ectopic pregnancy, forming a pelvic mass with hindering diagnosis.


REFERENCES

  1. O'Neill D, Pounds R, Vella J, Singh K, Yap J. The diagnostic conundrum of chronic ectopic pregnancy: a case report. Case Rep Womens Health. 2018; 20: e00086.

  2. Tempfer CB, Dogan A, Tischoff I, Hilal Z, Rezniczek GA. Chronic ectopic pregnancy: case report and systematic review of the literature. Arch Gynecol Obstet. 2019; 300 (3): 651-660.

  3. Yong PJ, Matwani S, Brace C, Quaiattini A, Bedaiwy MA, Albert A et al. Endometriosis and ectopic pregnancy: a meta-analysis. J Minim Invasive Gynecol. 2020; 27 (2): 352-361.e2.

  4. Farland LV, Prescott J, Sasamoto N, Tobias DK, Gaskins AJ, Stuart JJ et al. Endometriosis and risk of adverse pregnancy outcomes. Obstet Gynecol. 2019; 134 (3): 527-536.

  5. Escobar-Padilla B, Perez-López CA, Martínez-Puon H. Factores de riesgo y características clínicas del embarazo ectópico. Rev Med Inst Mex Seg Soc. 2017; 55 (3): 278-285.




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C?MO CITAR (Vancouver)

Acta Med. 2025;23