Laparoscopic management of second trimester ruptured cornual heterotopic pregnancy with subsequent live birth delivery: A case report and literature review.
Taiwan J Obstet Gynecol
; 62(2): 363-368, 2023 Mar.
Artículo
en Inglés
| MEDLINE | ID: covidwho-2298796
ABSTRACT
OBJECTIVE:
Heterotopic pregnancy (HP) is the coexistence of extra- and intrauterine gestation implantation sites. A rare case of a second-trimester ruptured cornual HP (CHP) treated with laparoscopic cornual resection with the primary repair is presented. Risk factors, clinical presentations, treatments, and outcomes of CHPs are also reviewed. CASE REPORT A 35-year-old pregnant woman with CHP presented with lower abdominal pain with hemoperitoneum and her hemoglobin level dropped. Laparoscopic management of a ruptured HP was performed, leaving the surplus intrauterine fetus intact. She delivered a 2360 g male infant via cesarean section at 34 weeks' gestation due to preterm premature rupture of membranes. We found a well-healed wound over the left uterine cornua during the cesarean section.CONCLUSION:
Ruptured CHP is a rare but life-threatening complication of an obstetric emergency. Although the pregnant uterus becomes congested and fragile, using reliable laparoscopic energy devices and barbed sutures, successful treatment is feasible.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Laparoscopía
/
Embarazo Heterotópico
/
Embarazo Cornual
Tipo de estudio:
Reporte de caso
/
Estudio pronóstico
/
Revisiones
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
/
Recién Nacido
/
Embarazo
Idioma:
Inglés
Revista:
Taiwan J Obstet Gynecol
Asunto de la revista:
Ginecologia
/
Obstetrícia
Año:
2023
Tipo del documento:
Artículo
País de afiliación:
J.tjog.2022.07.013
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