Embarazo ectópico abdominal: Protocolo de tratamiento combinado. reporte de un caso
Por:
Herrera-Ortiz A., Rodríguez-Cervantes M.A., Niebla-Cárdenas D., Torres-Barragán P.A., Camacho-Cervantes A., Heredia M.S.
Publicada:
1 ene 2019
Resumen:
BACKGROUND: Abdominal ectopic pregnancy is a rare entity which treatment has not been clearly stablished. One of the therapeutic alternatives is the surgical extraction of the fetus and the subsequent application of methotrexate in these patients. ICAL CASE: A 36-year-old female patient came to the emergency unit complaining of pain in the epigastrium. The patient referred a pregnancy of 16.2 weeks. Pelvic ultrasound and computed tomography were performed, demonstrating a suggestive image of a fetus without vitality at the level of the right hypochondrium. An exploratory laparotomy was performed. A male 115 gram fetus was observed at the level of mesogastrium, and was extracted without difficulty. Placental tissue was not removed because it was adhered to intestinal tissue. The subsequent management consisted of methotrexate. The patient was discharged without complications. CONCLUSION: The combined therapy between laparotomy for the extraction of the fetus and administration of methotrexate may be viable for cases of uncomplicated abdominal ectopic pregnancy in which the placental tissue is adhered to highly vas-cularized areas. © 2019, Asociacion Mexicana de Ginecologia y Obstetricia. All rights reserved.
Filiaciones:
Herrera-Ortiz A.:
Ginecoobstetra, adscrita al servicio de Ginecología y Obstetricia Hospital General Dr. Manuel Gea Gon-zález, Ciudad de México, Mexico
Rodríguez-Cervantes M.A.:
Estudiante de Medicina, Universidad Nacional Autónoma de México (UNAM), Ciudad de México Hospital General Dr. Manuel Gea Gon-zález, Ciudad de México, Mexico
Niebla-Cárdenas D.:
Jefa de la División de Urgencias toco-quirúrgicas Hospital General Dr. Manuel Gea Gon-zález, Ciudad de México, Mexico
Torres-Barragán P.A.:
Residente de Ginecología y ObstetriciaMéxico, Hospital General Dr. Manuel Gea Gon-zález, Ciudad de, Mexico
Camacho-Cervantes A.:
Pasante de Servicio Social, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Ciudad de México. Hospital General Dr. Manuel Gea Gon-zález, Ciudad de México, Mexico
Heredia M.S.:
Pasante de Servicio Social, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Ciudad de México. Hospital General Dr. Manuel Gea Gon-zález, Ciudad de México, Mexico
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