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Vol. 47. Issue 1.
Pages 22-24 (January - March 2020)
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Vol. 47. Issue 1.
Pages 22-24 (January - March 2020)
Caso clínico
Ectópico abdominal complicado con hemoperitoneo
Complicated abdominal ectopic with haemoperitoneum
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...
J. Ercilla Orbañanos
Corresponding author
juliaercillaorbananos@gmail.com

Autor para correspondencia.
, A. Couso González, G.I. Ruiz Barrajón, V. Quintero Morillo, M. Martí Sopeña, Á. Zapico Goñi
Servicio de Ginecología y Obstetricia, Hospital Universitario Príncipe de Asturias, Facultad de Medicina, Universidad de Alcalá, Alcalá de Henares, Madrid, España
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Resumen

El embarazo abdominal es una modalidad extremadamente rara de embarazo ectópico (EE) extratubárico, con muy pocos casos documentados en la literatura. La mortalidad materna es mayor que en los EE tubáricos por la demora en el diagnóstico y las complicaciones. Presentamos un caso de EE abdominal que se complicó con la aparición de hemoperitoneo severo en el primer trimestre de gestación. En nuestro caso, fueron necesarias 2 laparoscopias de urgencia en menos de 24h hasta poder dar con el diagnóstico definitivo, lo cual demuestra lo dificultoso que puede llegar a ser la identificación de esta enfermedad en estadios precoces.

Palabras clave:
Ectópico
Abdominal
Hemoperitoneo
Abstract

Abdominal ectopic pregnancy is an extremely rare type of extratubal ectopic (EE) pregnancy, with very few cases documented in the literature. Maternal mortality is higher than in tubal EE because of the delay in diagnosis and complications. The case is presented of a patient with an abdominal EE that was complicated by the appearance of severe haemoperitoneum in the first trimester of pregnancy. In this case, two emergency laparoscopies were needed in less than 24 hours, until the definitive diagnosis could be found. This demonstrates how difficult it can be to identify this pathology in its early stages.

Keywords:
Ectopic
Abdominal
Haemoperitoneum

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