Embarazo heterótopico

Abstract

In this research work, the study of heterotopic pregnancy is presented, with the presentation of a clinical report from the IESS Latacunga Hospital, a 29-year-old pregnant woman who went to the mentioned health centre for presenting pain in the right iliac fossa. Reason because it was decided to perform both laboratory and imaging tests where there is evidence of an increase in β-HCG levels, the presence of two gestational sacs, one in the uterus and the other in the right fallopian tube, so the diagnosis of pregnancy was reached Heteropic An exploratory laparotomy was performed with resection of the right ovarian wedge without evidence of a gestational sac in the fallopian tube, however, after the surgical intervention, an evolutionary ultrasound was performed showing both gestation sacs with intrauterine pregnancy involution and the presence of a heartbeat during pregnancy Ectopic, which is conservative treatment with methotrexate is decided despite re-entering an emergency service with a clinical picture of an injured ectopic pregnancy, for which emergency salpingectomy is performed and subsequent curettage due to septic abortion. Heterotopic pregnancy is a rare gynaeco-obstetric condition where its prognosis depends on the early diagnosis and the treatment of choice is laparoscopy to preserve the intrauterine pregnancy.