Objetivo: determinar si el índice de pulsatilidad de la arteria uterina >2,2 entre las 11 y 14 semanas es un método predictor de preeclampsia en gestantes que se atendieron en el Hospital de la Fuerza Aérea del Perú en el periodo comprendido del 01 de enero del 2012 a abril del 2014. Material y métodos: se analizaron 74 pacientes con un promedio de edad de 28,46 ± 6,79, el tipo de estudio fue descriptivo, retrospectivo, prospectivo, observacional y transversal. Resultados: el 55,4% de las fueron multíparas. El 2,7% tuvieron el antecedente de preeclampsia (PE). El 5,4% tuvieron el antecedente familiar de PE. El 2,7% presentaron antecedente de hábitos nocivos. El 1,4% tuvieron el antecedente de enfermedades previas. El 68,9% culminó en parto vaginal y el 31,1% culminó en cesárea. El 8.1% de las desarrollaron PE leve y el 1,4% PE severa. El 9,5% del total presentó preeclampsia. ...

Ectopic pregnancy is a pathology often encountered in the gynecologist practice. It is possible to have diverse extra-uterine implantation sites, some of them unsuspected. A case of cornual (stump) ectopic pregnancy with absent tube due to salpingectomy performed a year earlier for ectopic pregnancy and evidence of ovulation from the contra-lateral ovary (evidence of corpus luteum) and tube intact, corresponding to abdominal pregnancy, is presented. Resection of trophoblast was performed by laparoscopy, thus corroborating the anatomic and pathologic diagnosis of ectopic pregnancy. Postoperative outcome was satisfactory.

Ectopic pregnancy is a pathology often encountered in the gynecologist practice. It is possible to have diverse extra-uterine implantation sites, some of them unsuspected. A case of cornual (stump) ectopic pregnancy with absent tube due to salpingectomy performed a year earlier for ectopic pregnancy and evidence of ovulation from the contra-lateral ovary (evidence of corpus luteum) and tube intact, corresponding to abdominal pregnancy, is presented. Resection of trophoblast was performed by laparoscopy, thus corroborating the anatomic and pathologic diagnosis of ectopic pregnancy. Postoperative outcome was satisfactory.

The case of an ectopic pregnancy with unusual location on the uterine serosa in a patient with cornual resection after two consecutive ectopic pregnancies in that area is reported. It probably had a primary abdominal implantation without endometrial communication, and was treated with trophoblastic resection by laparoscopy.