Management of abdominal ectopic pregnancy: case series

• Autor: Miranda Flores, Alan Francis
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español; inglés
• OAI Identifier: oai:ginecologiayobstetricia.pe:article/2709
• Enlace del recurso: https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2709
• Nivel de acceso: acceso abierto
• Materia: Pregnancy; abdominal; ectopic; Methotrexate; Laparotomy; Embarazo abdominal; Embarazo ectópico; Metotrexato; Laparotomía

Background: Abdominal ectopic pregnancy accounts for 1-1.4% of ectopicpregnancies and is associated with a high maternal mortality rate mainly due tomassive hemorrhage. Objective: To describe the experience in the managementof abdominal ectopic pregnancy at the Instituto Nacional Materno Perinatal, Lima,Peru. Materials and methods: Descriptive and retrospective study. The studypopulation was patients with a diagnosis of abdominal ectopic pregnancy during theperiod 2021-2023. Data was obtained from the review of medical records. Statisticalanalysis was processed in the SPSS 24 software. Results: Seven cases of abdominalectopic pregnancy were recorded. The mean age was 31.3 years; 57.1% of the caseshad no risk factors. The mean gestational age was 9 weeks. The majority presentedabdominal pain as the only symptom (71.4%). Preoperative diagnosis occurred in42.9% of the cases. Hemoperitoneum was present in 57.1%. The most frequentsite of implantation was the broad ligament (42.9%). Treatment was surgical in allcases. One case presented hemoperitoneum as a postoperative complication dueto bleeding of the placental bed. Conclusions: Surgery continues to be the treatmentof abdominal ectopic pregnancy. There is controversy regarding the removal of theplacenta in advanced gestational ages.