Abstract

HERNANDEZ MENDEZ, José Roberto et al. The general surgeon facing a ruptured heterotopic pregnancy. Case presentation and literature review. Cir. gen [online]. 2018, vol.40, n.1, pp.24-30. ISSN 1405-0099.

Heterotopic pregnancy has a low prevalence, but has increased in recent years due to assisted reproduction techniques. Clinical symptoms can be wide, so physicians must have in mind the complications, the most frequent of which is the rupture of the ectopic component ,which leads to hemodynamic instability with a high rate of fetal and maternal mortality. We report the case of a patient previously treated with ovarian stimulation, diagnosed with heterotopic pregnancy with a twin intrauterine component; she had been diagnosed with acute appendicitis previous to the surgical resolution, and was treated with salpingectomy for the extrauterine product, without postsurgical complications and a good outcome for both the intrauterine product and the mother.

Keywords : Heterotopic pregnancy; ectopic pregnancy; acute abdomen.

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