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Indexada en:

IBECS, IME

Índice SCImago

SCImago Journal & Country Rank
doi: 10.1016/j.pog.2011.03.017

Gestación heterotópica triple: gestación gemelar intrauterina

Triple heterotopic pregnancy: intrauterine twin pregnancy

Aida Encinas Romero a, , Leire Martinicorena Satrustegi a, Pedro Morales Utrilla a, Ane Arruti Muñoa a, Flor Sánchez Refoyo a, Amanda López-Picado b

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

Palabras Clave

Embarazo heterotópico. Gestación gemelar. Laparoscopia.

Keywords

Heterotopic pregnancy. Twin pregnancy. Laparoscopy.

Resumen

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.