Embarazo ectópico abdominal: reporte de dos casos

José Carlos Elías Estrada; Igor Hermann Huerta Sáenz; Katherine Belén Campos Del Castillo; Julia Cristina Coronado Arroyo; Armando Flórez Mendoza

doi:10.31403/rpgo.v67i2306

Authors

José Carlos Elías Estrada Maternal Fetal Medicine Service; Gynecologist and Obstetrician, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Peru http://orcid.org/0000-0002-1608-9391
Igor Hermann Huerta Sáenz Critical Care Obstetric Service; Gynecologist and Obstetrician, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Peru http://orcid.org/0000-0002-5134-1193
Katherine Belén Campos Del Castillo Emergency Service; Gynecologist and Obstetrician, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Peru http://orcid.org/0000-0002-0197-0725
Julia Cristina Coronado Arroyo Emergency Service; Gynecologist and Obstetrician, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Peru http://orcid.org/0000-0002-4916-8205
Armando Flórez Mendoza Maternal Fetal Medicine Servicel, Gynecologist and Obstetrician, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Peru

DOI:

https://doi.org/10.31403/rpgo.v67i2306

Keywords:

Abdominal pregnancy

Abstract

We present two cases of abdominal ectopic pregnancy of 16 and 26 weeks, evaluated with ultrasound and magnetic resonance imaging. Both cases presented an acute surgical abdomen, the case with the oldest gestational age showed hemodynamic decompensation due to hemoperitoneum secondary to placental abruption. The clinical presentation led to resolution by laparotomy and extraction of the fetus and placental tissue, ending in hysterectomy due to trophoblastic involvement of the uterine surface and adjacent organs in the first case. The 26-week-neonate died after 4 months due to late sepsis. Clinical suspicion for amenorrhea and severe abdominal pain are important criteria, and imaging studies, especially ultrasound, are the main diagnostic tools.