Avila-Vergara MA, Peña-Ayón AR, Guzmán-Gutiérrez LE, Valenzuela-Verduzco JE, Caballero-Rodríguez CB, Vadillo-Ortega F

Idioma: Español
Referencias bibliográficas: 39
Paginas: 728-734
Archivo PDF: 505.12 Kb.

RESUMEN

Antecedentes: el embarazo ectópico ovárico es de baja frecuencia pero con efectos adversos en la salud reproductiva de la mujer. No siempre es fácil distinguir si el embarazo es tubárico o abdominal. Los procedimientos diagnósticos y opciones de tratamiento son un reto médico.
Caso clínico: paciente de 21 años de edad, con feto vivo de 14 semanas de gestación, valorada en el servicio de Tococirugía como urgencia médica por abdomen agudo y choque hipovolémico. Se realizó laparotomía exploradora de urgencia y resección en bloque de una masa anexial localizada en el lado derecho. Los hallazgos fueron: hemoperitoneo abundante, con feto vivo en el saco gestacional íntegro, implantado sobre el ovario derecho. El estudio histopatológico reportó: embarazo ovárico primario de acuerdo con los criterios de Spiegelberg. Se discuten aspectos básicos de la biología del trofoblasto y la asociación dispositivo intrauterinoembarazo ovárico.
Conclusión: el embarazo ectópico es un problema obstétrico que incluye aspectos fisiopatológicos poco comprendidos, un dilema de diagnóstico clínico y un muy pobre arsenal de opciones terapéuticas.

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