Heterotopic pregnancy in a natural conception cycle presented as an ectopic pregnancy. A case report [Embarazo heterotópico en un ciclo de concepción natural presentado como embarazo ectópico roto. Informe de un caso]
Por:
Domínguez-Meléndez K.E., Sastré-Gómez H., Higuera-Hidalgo F., Vargas-Domínguez A., Zaldívar-Ramírez F.R.
Publicada:
1 ene 2008
Categoría:
Surgery
Resumen:
Background: Heterotopic pregnancy is defined as an intrauterine pregnancy that coexists ectopically with another pregnancy. It is a rare event, in particular in patients not being treated for infertility. Our objective is to report a case of a patient without in vitro fertilization or other type of infertility treatment. The patient presented a heterotopic pregnancy as acute abdomen. Clinical case: We report the case of a 21-year-old female who was referred to the General Hospital of Mexico with intense abdominal pain in both lower quadrants and hypovolemic shock symptoms. Emergency pelvic ultrasonography reports a ruptured ectopic pregnancy along with an intrauterine pregnancy of 7.4 weeks gestation. For that reason, the patient underwent urgent exploratory laparatomy. Conclusions: Heterotopic pregnancy is a rare event in the natural conception cycle. To elaborate the diagnosis, high clinical suspicion and specific diagnostic studies are necessary.
Filiaciones:
Domínguez-Meléndez K.E.:
Servicio de Cirugía General, Hospital General de México, México, D. F., Mexico
Sastré-Gómez H.:
Servicio de Cirugía General, Hospital General de México, México, D. F., Mexico
Higuera-Hidalgo F.:
Servicio de Cirugía General, Hospital General de México, México, D. F., Mexico
Vargas-Domínguez A.:
Servicio de Cirugía General, Hospital General de México, México, D. F., Mexico
Zaldívar-Ramírez F.R.:
Servicio de Cirugía General, Hospital General de México, México, D. F., Mexico
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