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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2014, Number 06

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Ginecol Obstet Mex 2014; 82 (06)

Embryo implantation in cesarean section

Mateo-Sánez HA, Hernández-Arroyo L, Mateo-Madrigal V, Mateo-Madrigal M, Mateo-Madrigal D
Full text How to cite this article

Language: Spanish
References: 9
Page: 410-414
PDF size: 342.71 Kb.


Key words:

ectopic pregnancy, previous cesarean scar pregnancy.

ABSTRACT

Background: Ectopic pregnancy continues to be a life threatening emergency as well as a menace to women fertility. Documented cases site tubal ectopic pregnancy as the most frequent location in 97% of cases. Being the previous cesarean scar the most rare location (‹1%), therefore, rarely reported.
Objective: To explain the process of diagnosis and treatment as well as the discussion of current modalities.
Clinical Case: 28 years old patient who goes to the outpatient service at Santa Rosa de Lima Hospital for presenting scarcely transvaginal stain of two days of evolution (which was detected by speculoscopy exploration) without referring pain. Transvaginal ultrasound showed 9.1 weeks of gestation pregnancy, located in the previous cesarean scar, with a heartbeat of 150 beats per minute. Subsequently, a laparotomy was preformed obtaining the product without further complications.


REFERENCES

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  2. Pérez Peña E. Atención Integral de la infertilidad. Endocrinología, cirugía y reproducción asistida. Embarazo ectópico. 3a ed. México: Médica Panamericana, 2011;171-184.

  3. Valdera-Simbrón CJ, Fernández-Alonso AM, Fernández- Soriano MA, Fiol-Ruiz G. Embarazo ectópico en cicatriz de cesárea anterior: comunicación de un caso y revisión de la literatura. Prog Obstet Ginecol 2011;54:320-4.

  4. Laing FC, Frates MC. Evaluación ecográfica durante el primer trimestre de embarazo. En: Ecografía en Obstetricia y Ginecología. 4ª ed. México: Médica Panamericana, 2002; 121.

  5. Parrilla JJ, Delgado JL, Abad L. Reproducción Humana. Embarazo ectópico. 2a ed. México: McGraw-Hill, 2002; 227-235.

  6. Instituto Nacional de Perinatología. Normas y procedimientos de ginecología y obstetricia. Embarazo ectópico. Tomo II. 2003;83-84.

  7. The Practice Committee of the American Society for Reproductive Medicine. Medical Treatment of ectopic pregnancy. Fertility and Sterility 2008;90 (Suppl 3).

  8. Doumerc S, Hervé F. Cuadernos de medicina reproductiva: Embarazo ectópico. Diagnóstico ecográfico de los embarazos ectópicos. Vol. 2 Num.1. México: Médica Panamericana, 1996;47-69.

  9. Mancera-Resendiz MA, Arredondo-Merino RR, Gómez Pedroso-Rea FJ, Rivera-Rodríguez P, Iturralde-Rosas-Priego P. Embarazo heterotópico espontáneo. Reporte de un caso. Ginecol Obstet Mex 2011;79:377-381.




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Ginecol Obstet Mex. 2014;82