Gestación heterotópica tras estimulación ovárica con clomifeno / Heterotopic pregnancy following induction of ovulation with clomiphene citrate
Prog. obstet. ginecol. (Ed. impr.)
; 60(3): 240-243, mayo-jun. 2017. ilus
Article
in Spanish
| IBECS
| ID: ibc-164069
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Introducción:
la gestación heterotópica consiste en la coexistencia de una gestación intraútero y otra ectópica. La incidencia se ha multiplicado, debido especialmente a las técnicas de reproducción asistida. Es un cuadro infradiagnosticado. El diagnóstico será ecográfico o laparoscópico. Caso clínico mujer de 27 años gestante en la semana 5 tras tratamiento con clomifeno que acude a urgencias por abdominalgia. En ecografía, saco gestacional intraútero y en anejo izquierdo saco de 5,73 mm con vesícula vitelina y líquido libre en Douglas. Ante la sospecha de gestación heterotópica se indica laparoscopia diagnóstico- terapéutica trompa izquierda dilatada con embarazo tubárico. Se realiza salpinguectomía (AU)ABSTRACT
Blackground A heterotopic pregnancy is defined by the coexistence of an intrauterine pregnancy and ectopic pregnancy. The incidence of heterotopic pregnancy has increased due to Assisted Reproduction Therapy and it tends to be underdiagnosed. The diagnosis is made by Ultrasound and Laparoscopy. Case report A 27-year-old woman in her fifth week of pregnancy, after treatment with Clomiphene comes to the emergency room for abdominal pain. A routine ultrasound finds an intrauterine gestational sac, along with a left adnexal mass resembling a gestational sac with vitelline vesicle and a collection in Douglas. A diagnostictherapeutic laparoscopy was performed, finding a left tubaric pregnancy which was removed by salpinguectomy (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Ovulation Induction
/
Clomiphene
/
Laparoscopy
/
Reproductive Techniques, Assisted
/
Salpingectomy
/
Pregnancy, Heterotopic
Type of study:
Etiology study
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Prog. obstet. ginecol. (Ed. impr.)
Year:
2017
Document type:
Article
Institution/Affiliation country:
Hospital Sierrallana/España
/
Hospital Universitario Marqués de Valdecilla/España