Arredondo MRR, Rivera RP, Sánchez CMD

Language: Spanish
References: 16
Page: 26-29
PDF size: 175.76 Kb.

ABSTRACT

Ectopic pregnancy is the most common life-threatening obstetric emergency in the early pregnancy. Although spontaneous resolution of ectopic pregnancy may occur, patients are at risk of rupture and bleeding. The prevalence of ectopic pregnancy is higher in those patients who undergo assisted reproduction techniques and those with risk factors, being even more frequent to submit ectopic twin pregnancies. In this paper we present the case of a 33 years old woman who has a history of a recurrent sexually transmitted infections, come to the Emergency Department of our hospital presenting abdominal pain and metrorrhagia associated with menstrual delay. Quantification of human chorionic gonadotrophin β fraction in blood resulting positive and a right tubal twin ectopic pregnancy was reported in transvaginal ultrasound, by such reasons it is decided a laparotomy for its resolution. The histopathological study reports a monocorionic biamniotic twin pregnancy of 7-8 weeks of gestation. It is important that the ph ysician has in mind the risk factors including, sexually transmitted disease, that in this case could precipitate the calving of ectopic pregnancy.

REFERENCES

1. Vichnin M. Ectopic pregnancy in adolescents. Curr Opin Obstet Gynecol. Wolters Kluwer Health 2008; 20: 475-478.

2. Stanley WE, Rey PG, Gallardo JP. Embarazo gemelar ectópico tubárico unilateral, presentación de un caso. Rev Chil Ultrasonog 2007; 10: 104-106.

3. Gosálvez VA. Gestación ectópica. Manual CTO. Ginecología y Obstetricia. 6ta Ed. Madrid: McGraw-Hill, Inc., 2005: 41-42.

4. Heather M, Hanadi B, Trevor B, Togas T. Diagnosis and treatment of ectopic pregnancy. CMAJ 2005; 173(8): 905-912.

5. Sherer D, Scibetta I, Sanko S. Heterotopic quadruplet gestation with laparoscopic resection of ruptured interstitial pregnancy and subsequent successful outcome of triplets. Am J Obstet Gynecol 1995; 171(1): 216-217.

6. Parker J, Hewson AD, Calder-Mason T, Lai J. Transvaginal ultrasound diagnosis of a live twin tubal ectopic pregnancy. Austral Radiol 1999; 43(1): 95-97.

7. Rolle JC, Wai YC, Bawdon R, Santos R et al. Case report unilateral twin ectopic pregnancy in a patient with an history of multiple sexually transmitted infections. Infect Dis Obstet Gynecol 2006; 306: 1-3.

8. Sik JS, Moon JY, Kim RS. Primary peritoneal pregnancy implanted on the uterosacral ligament. A case report. J Korean Medicine SCi 2000; 15: 359-362.

9. Bonfante R, Bolanos A, Simon P, Juarez G, Garcia-Benitez CQ. Embarazo abdominal experiencia institucional. Ginecol Obstet Mex 1998; 66: 287-289.

10. Condous G. Ectopic pregnancy risk factors and diagnosis. Aust Fam Physician 2006; 35(11): 854-857.

11. Lozeau AM, Potter B. University of Wisconsin Medical School-Madison. Diagnosis and Management of Ectopic Pregnancy. Am Fam Physician 2005; 72(9): 2005.

12. Lin EP, Shweta B, Vikram SD. Diagnostic clues to ectopic pregnancy. Radio Graphics V 2008; 28: 1661-1671.

13. Cabar FR, Fettback PB, Pereira PP, Zugaib M. Serum markers in the diagnosis of tubal pregnancy. Clinics 2008; 63(5): 701-708.

14. Goker ENT, Tavmergen E, Ozcakir HT, Levi R, Adakan S. Unilateral ectopic twin pregnancy following an IVF cycle. Obstet Gynaecol Research 2001; 27(4): 213-215.

15. Gerard HC, Branigan PJ, Balsara GR, Heath C, Minassian SS , Hudson AP. Viability of Chlamydia trachomatis in fallopian tubes of patients with ectopic pregnancy. Fertility and Sterility 1998; 70(5): 945-948.

16. James JW. Ectopic pregnancy. Clin Obstet Gynecol 2007; 50(1): 89-99.