Experience in the medical care of abdominal ectopic pregnancy

Miranda Flores A.F. · Ginecologia y Obstetricia de Mexico (2024) · DOI: 10.24245/gom.v92i10.9768

Resumen

OBJECTIVE: To know the experience in the medical care of patients with abdominal ectopic pregnancy. MATERIALS AND METHODS: Descriptive and retrospective study carried out at the Instituto Nacional Materno Perinatal, Lima, Peru in patients with a diagnosis of abdominal ectopic pregnancy attended between 2021 and 2023. Data were collected from medical records. Statistical analysis was performed using SPSS 24. RESULTS: Seven cases of patients with abdominal ectopic pregnancy were included. The mean age of the patients was 31.3 years. Only three patients had any risk factors. The mean gestational age was nine weeks. Five of the seven patients presented with abdominal pain as the only symptom. Preoperative diagnosis was established in three of the seven patients. Four patients had hemoperitoneum. The most common site of implantation was the broad ligament (in 3 of the 7 patients). Treatment was operative in all cases. One patient had hemoperitoneum as a postoperative complication due to bleeding from the placental bed. CONCLUSIONS: Abdominal ectopic pregnancy has a high maternal morbidity and mortality; seven cases have been reported in our institution in three years. The clinical picture depends on the site of implantation, most of them have hemoperitoneum and abdominal pain, so the diagnosis and treatment are made simultaneously by surgery. Prenatal control is fundamental because ultrasound is sufficient to establish the diagnosis and, in special cases, magnetic resonance imaging is very useful. If the diagnosis is made in time, conservative or surgical treatment can be offered depending on the patient's condition, thus reducing complications.

Instituciones: Universidad Nacional Mayor de San Marcos