Hernández-Cruz RG, Tobón-Delgado SR, García-Rodríguez AM, Escobar-Ponce LF, Olguín-Ortega AA

Language: Spanish
References: 10
Page: 403-408
PDF size: 435.48 Kb.

ABSTRACT

Background: The heterotopic pregnancy is the coexistence is an intrauterine and extrauterine gestation, although the frecuency of presentation is rare, it is associated with a high maternal morbidity and mortality, reason why a diagnosis and timely management are the cornerstone of these cases. The β fraction of the human chorionic gonadotropin hormone and the endovaginal ultrasound are the most useful tools in the diagnosis and the laparoscopic surgical approach has been proposed as the best choice since it offers advantages over an open technique approach.
Clinical case: The case of a spontaneous heterotopic pregnancy of 7.4 weeks of gestation was reported, with a ruptured left ectopic pregnancy and an intrauterine pregnancy with corroborated vitality, emergency admission for amenorrhea and abdominal pain, corroborating a ruptured ectopic pregnancy with hemoperitoneum by means of laparoscopic salpingectomy, obtaining hemoperitoneum of 800 cc, later with an adequate prenatal control, the pregnancy was resolved abdominal route by indication of labor in latent phase and fetus in pelvic presentation, a female newborn of 34 weeks of gestation was obtained.
Conclusion: The multidisciplinary care, the identification of risk factors, clinical suspicion and the support of cabinet studies allowed the diagnosis and surgical approach of minimal invasion in a timely manner, with favorable transsurgical results and a viable pregnancy of 34 weeks of coexisting embryo.

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