Granados RJJ, Cortés GLD, Muñoz MO, Ortiz HS

Language: Spanish
References: 11
Page: 112-115
PDF size: 57.48 Kb.

ABSTRACT

Background: An ectopic pregnancy is the implantation outside of the uterine cavity, instead of being the most commonly the fallopian tube. Current data show the hypothesis that this condition is due to a combination of retention of the embryo in the uterine tube and undergoes the same changes for related pathologies, conditioning implantation. The diagnosis may be doubtful when clinical guide us to different etiologies. Case presentation: In this case presents a woman 35 years old who was admitted because of abdominal pain, located in both iliac fossae with a history of dominance that left one month ago he underwent vacuum aspiration. Ultrasonography was performed in the presence of left ovarian cyst; abdominal tomography scan is no acute pathology. Because the question of abdominal pain diagnostic laparoscopy is performed. Its postoperative management with antibiotics and was discharged after 72 hours of surgery without complications. Conclusions: In this case the use of diagnostic laparoscopy has the advantage of making a proper diagnosis and at the same time solve the pathology present our patient.

REFERENCES

1. Varma R, Gupta J. Tubal ectopic pregnancy. Clinical Evidence 2009; 04: 1406.

2. Shaw JLV, Dey SK, Critchley HOD et al. Current knowledge of the etiology of human tubal ectopic pregnancy. Human Reproduction Update 2010; 16: 432–444.

3. Lin EP, Bhatt S, Droga VS. Diagnostic clues to ectopic pregnancy. Radio Graphics 2008; 28: 1661–1671.

4. Kruszka P, Kruszka S. Evaluation of acute pelvic pain in women. American Family Physician 2010: 82.

5. Madani Y. The use of ultrasonography in the diagnosis of ectopic pregnancy: A case report and review of the literature. Medscape J Med 2008; 10: 35.

6. Saleem M, Mohsin M, Malik A et al. Successful laparoscopic management of concomitant ectopic pregnancy and acute appendicitis in a patient of failed tubal ligation– case report with a review of the literature. Cases Journal 2008; 1: 412.

7. Cabar FR, Fettback PB, Pereira PP, Zugaib M. Serum markers in the diagnosis of tubal pregnancy. Clinics 2008; 63: 701-8.

8. Ding DC, Chu TY, Kao SP et al. Laparoscopic management of tubal ectopic pregnancy. Journal of the Society of Laparoendoscopic Surgeons, JSLS 2008; 12: 273-276.

9. Fujishita A, Masuzaki H, Newaz Khan K, Kitajima M, Hiraki K, Ishimaru T. Laparoscopic salpingostomy for tubal pregnancy: comparison of linear salpingostomy with and without suturing. Human Reproduction 2004; 19: 1195-1200.

10. Mol F, Mol BW, Ankum WM et al. Current evidence on surgery, systemic methotrexate and expectant management in the treatment of tubal ectopic pregnancy: a systematic review and meta-analysis. Human Reproduction Update 2008; 14: 309-319.

11. Elito JJ, Ares MN, Montenegro M et al. Unruptured ectopic pregnancy – diagnosis and treatment. State of art. Rev Bras Ginecol Obstet 2008; 30: 149-59.