Embarazo ectópico ovárico tras transferencia embrionaria intrauterina ecoguiada resuelto de forma conservadora por laparoscopia

Lure, M.; Matorras, R.; Barbazan, M.J.

doi:10.1016/S0304-5013(02)75829-9

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Resumen

Presentamos un caso de embarazo ectópico tras fecundación in vitro y transferencia intrauterina guiada por ecografía

El ascenso de la gonadotropina coriónica humana (HCG), asociado a la ecografía hizo sospechar la presencia del embarazo ectópico. La laparoscopia diagnóstica halló unas trompas normales y una tumoración ovárica izquierda de 3-4 cm compatible con un cuerpo lúteo hemorrágico o ectópico ovárico. El tratamiento conservador por laparoscopia del embarazo permitió conservar la funcionalidad de ese ovario

La transferencia de embriones ecoguiada no evita el embarazo ectópico a pesar de asegurarnos la correcta ubicación de los embriones, tal como muestra nuestro caso

Palabras clave:

Ectópico ovárico

Laparoscopia

Ecografía

Fecundación in vitro

Transferencia ecoguiada

Summary

We present a case of ectopic pregnancy after in vitro fertilization and ultrasonographically-guided intrauterine transfer

An increase in human chorionic gonadotrophin (HCG), associated with ultrasonographic findings, was suspicious for ectopic pregnancy. Diagnostic laparoscopy revealed normal tubes and a left ovarian tumor of 3-4 cm compatible with bleeding corpus luteum or ovarian ectopic pregnancy

Ovarian function was preserved through conservative treatment of the pregnancy with laparoscopy

As demonstrated by this case, ultrasonographicallyguided ovarian transfer is not free of the risk of ectopic pregnancy, despite correct positioning of the embryos

Key words:

Ovarian ectopic pregnancy

Laparoscopy

Ultrasonography

In vitro fertilization

Ultrasonographically-guided transfer

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