Abstract

DELGADO NUNEZ, Karen Mariel; DELGADILLO CESPEDES, Mariela; PARDO NOVAK, Antonio José  and  ROQUE ORIHUELA, Eberedson. Ectopic Pregnancy: a Case Report. Rev Cient Cienc Méd [online]. 2012, vol.15, n.1, pp.33-36. ISSN 1817-7433.

In the cornual pregnancy the gestational sac is implanted in the uterine horn. Risk factors for the existence of ectopic pregnancy include: genital infections, smoking, previous abdomino-pelvic surgery, contraceptive use, previous ectopic pregnancy, infertility treatment and reproductive techniques, drug administration, luteal insufficiency, endometriosis, maternal age and pelvic inflammatory disease. Cornual pregnancy is diagnosed by anamnesis, clinical examination, placental plasma markers, transvaginal ultrasound and Douglas sac puncture. The medical treatment recommended for interstitial pregnancy is the administration of methotrexate. In case of bleeding caused by the cornual pregnancy is recommended laparotomy surgery whit cornual resection or hysterectomy. We present the case of 28 years old female patient diagnosed with a 16 weeks cornual ectopic pregnancy. With a history of four pregnancies; two of them end in abortion and one in a previous ectopic pregnancy.The review of vital sign showed tachycardia, tachypnea and hypotension. Physical examination evidence transvaginal bleeding. The patient was submitted to surgery where the ectopic pregnancy was interrupted and proceeded to regularize the edges and devitalized tissue.

Keywords : Cornual ectopic pregnancy; acute abdomen; hemoperitoneum.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )