Successful laparoscopic management in a heterotopic tubal pregnancy

Minchola-Vega J.L.; Morales-Bautista J.L.; Guillén-Salazar G. · Revista Peruana de Ginecologia y Obstetricia (2025) · DOI: 10.31403/rpgo.v71i2786

Resumen

Heterotopic pregnancy is defined as the coexistence of an intrauterine and an ectopic gestation. It is an exceptional event in spontaneous conceptions, although assisted reproductive techniques have significantly increased its incidence. Clinical manifestations are often nonspecific, making diagnosis challenging; however, transvaginal ultrasound is considered the method of choice for early detection. Early recognition and timely management of the ectopic pregnancy are essential to preserve maternal health and optimize perinatal outcomes, as they allow for the adequate progression of the intrauterine gestation while reducing associated complications. We present the case of a 27-year-old woman with no known risk factors, diagnosed at 8 weeks with heterotopic pregnancy following spontaneous conception. She underwent laparoscopic salpingectomy, with histopathological confirmation. The intrauterine pregnancy evolved favorably and was carried to term, culminating at 40 weeks in a vaginal delivery of a healthy newborn, with favorable maternal outcomes.

Instituciones: Universidad Ricardo Palma