Abstract

MENDIVIL, César; PADRON, Rafael; MIRANDA, Jezid  and  SILVA, Glenda. Laparoscopic management of heterotopic pregnancy following early ecographic diagnosis: a case report and literature review. Rev Colomb Obstet Ginecol [online]. 2011, vol.62, n.1, pp.98-103. ISSN 0034-7434.

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.

Keywords : heterotopic pregnancy; laparoscopy; ectopic pregnancy/diagnosis; ectopic pregnancy/ therapy.

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