Laparoscopic management of heterotopic pregnancy following early ecographic diagnosis: a case report and literature review
DOI:
https://doi.org/10.18597/rcog.248Keywords:
heterotopic pregnancy, laparoscopy, ectopic pregnancy/diagnosis, ectopic pregnancy/ therapyAbstract
Objective: reviewing the pertinent literature about the most important aspects related to early diagnosis and management of heterotopic pregnancy.
Materials and methods: a case of heterotopic pregnancy is presented which was diagnosed by ultrasonography. The patient underwent laparoscopic salpingectomy and she continued normal intrauterine gestation. MEDLINE and EMBASE databases were reviewed, as well as the Latin-American SciELO database and books on the specialization.
Conclusion: diagnosis of heterotopic pregnancy is difficult due to its diverse clinical manifestations and intrauterine pregnancy leading to human chorionic gonadotropin Beta fraction production being continued; echography is thus an important pillar in the early diagnosis and identification of this pathology. Laparoscopy emerges as a safe management alternative.
Author Biographies
César Mendivil
Rafael Padrón
Jezid Miranda
Glenda Silva
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