Gestación heterotópica triple: gestación gemelar intrauterina |
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Authors: | Aida Encinas Romero,Leire Martinicorena SatrustegiPedro Morales Utrilla,Ane Arruti Muñ oaFlor Sá nchez Refoyo,Amanda Ló pez-Picado |
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Affiliation: | a Servicio de Obstetricia y Ginecología, Jefe de Servicio: José Luis de Pablo, Hospital Txagorritxu, Vitoria-Gasteiz, Álava, España b Unidad de Investigación de Álava, Hospital Txagorritxu, Vitoria-Gasteiz, Álava, España |
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Abstract: | Heterotopic pregnancy is increasingly common in Spain mainly due to the greater use of in vitro fertilization techniques. We report a case of heterotopic pregnancy after artificial insemination in a patient who consulted for mild metrorrhagia. Ultrasound examination showed a diamniotic dichorionic twin pregnancy and a singleton intrauterine gestation in the right tube. The case was resolved by laparoscopic unilateral salpingectomy. The symptoms of these rare pregnancies are nonspecific. Moreover, they are usually underdiagnosed, because the adnexa are not usually examined when an intrauterine gestational sac is found. Due to the severity of maternal and fetal compications, early diagnosis is essential. |
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Keywords: | Embarazo heterotó pico Gestació n gemelar Laparoscopia |
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