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2008, Number 6

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Cir Cir 2008; 76 (6)

Embarazo heterotópico en un ciclo de concepción natural presentado como embarazo ectópico roto. Informe de un caso

Domínguez-Meléndez KE, Sastré-Gómez H, Higuera-Hidalgo F, Vargas-Domínguez A, Zaldívar-Ramírez FR

Language: Spanish
References: 21
Page: 519-522
PDF size: 108.31 Kb.


ABSTRACT

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.


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