Delgado DAE, Delgado KA

Language: Spanish
References: 8
Page: 61-63
PDF size: 186.42 Kb.

ABSTRACT

Introduction: Ectopic pregnancy continues to be frequent among women due to lifestyle modifications and previous medical history (infections, surgery). Heterotopic pregnancy has been rising in diagnosis as a consequence of assisted reproduction techniques. Case report: 38-year-old female in her first pregnancy of 7.4 weeks according to her last menstrual period; she had been diagnosed with multiple sclerosis 15 years prior and had been on treatment with interferon, which she suspended as pregnancy was diagnosed. Symptoms initiated with sudden pain located in the right upper quadrant and irritative symptoms, no vaginal losses. A transvaginal ultrasound reported an intrauterine pregnancy and a second extrauterine pregnancy, with abundant free liquid in the cavity. Conclusion: Heterotopic pregnancy is a pathology that puts women’s life at risk if not diagnosed and treated on time. Heterotopic pregnancies carry a risk of losing both extrauterine and intrauterine pregnancies.

REFERENCES

1. Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Hum Reprod. 2002; 17 (12): 3224-3230.

2. Maymon R, Shulman A. Controversies and problems in the current management of tubal pregnancy. Hum Reprod Update. 1996; 2 (6): 541-551.

3. Creanga AA, Syverson C, Seed K, Callaghan WM. Pregnancy-related mortality in the United States, 2011-2013. Obstet Gynecol. 2017; 130 (2): 366-373.

4. Fajardo-Dolci G, Meljem-Moctezuma J, Vicente-González E, Venegas-Páez FV, Villalba-Espinoza I, Pérez-Cardoso AL et al. Análisis de las muertes maternas en México ocurridas durante 2009. Rev Med Inst Mex Seguro Soc. 2013; 51 (5): 486-495.

5. Coste J, Job-Spira N, Fernandez H, Papiernik E, Spira A. Risk factors for ectopic pregnancy: a case control study in France, with special focus on infectious factors. Am J Epidemiol 1991; 133 (9): 839-849.

6. Kirk E, Papageorghiou AT, Condous G, Tan L, Bora S, Bourne T. The diagnostic effectiveness of an initial transvaginal scan in detecting ectopic pregnancy. Hum Reprod. 2007; 22 (11): 2824-2828.

7. Nyberg DA, Filly RA, Laing FC et al. Ectopic pregnancy. Diagnosis by sonography correlated with quantitative HCG levels. J Ultrasound Med. 1987; 6 (3): 145-150.

8. Barrenetxea G, Barinaga-Rementeria L, Lopez de Larruzea A, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: two cases and a comparative review. Fertil Steril. 2007; 87 (2): 417.e9-15.