covid
Buscar en
Progresos de Obstetricia y Ginecología
Toda la web
Inicio Progresos de Obstetricia y Ginecología Gestación heterotópica tras ciclo de fecundación in vitro con diagnóstico pr...
Información de la revista
Vol. 46. Núm. 2.
Páginas 91-95 (enero 2003)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 46. Núm. 2.
Páginas 91-95 (enero 2003)
Acceso a texto completo
Gestación heterotópica tras ciclo de fecundación in vitro con diagnóstico preimplantatorio
Heterotopic pregnancy with preimplantation diagnosis after a cycle of in vitro fertilization
Visitas
2757
M. Rodríguez-González
Autor para correspondencia
mrodriguez@ivi.es

Correspondencia: Avda. Francisco Tárrega, 36, 1.° D. 12540 Vila-Real. Castellón. España
, I. Valencia, A. Pellicer, J. Remohí
Instituto Valenciano de Infertilidad y Departamento de Pediatría, Obstetricia y Ginecología. Facultad de Medicina de Valencia. España
Este artículo ha recibido
Información del artículo
Resumen

La gestación heterotópica es aquella en la que coexisten una gestación intra y extrauterina. Su incidencia ha aumentado en la última década debido al incremento de la enfermedad tubárica y pélvica y al incremento del número de parejas sometidas a técnicas de reproducción asistida (TRA). El caso clínico pretende establecer la dificultad en el diagnóstico temprano de este tipo de gestaciones, tanto por la clínica inicial de un síndrome de hiperestimulación ovárica, como por la manifestación tardía (semana 16 de gestación) de una gestación heterotópica. En este caso se establece la duda de si la gestación ectópica asociada deriva de la transferencia embrionaria o de una gestación espontánea posterior.

Palabras clave:
Gestación heterotópica
Diagnóstico preimplantatorio
Fecundación in vitro
Summary

Heterotopic pregnancy is the combination of intrauterine and ectopic pregnancy. The incidence of this type of pregnancy has increased in the last decade due to the rise in tubular and pelvic disease as well as in the number of couples undergoing assisted-reproduction techniques. The aim of this case report is to describe the difficulty of early diagnosis of this type of pregnancy because of the initial symptoms of ovarian hyperstimulation and its late manifestation (week 16 of gestation). In this report we question whether the associated ectopic pregnancy was the result of embryo transfer or of subsequent spontaneous pregnancy.

Keywords:
Heterotopic pregnancy
Preimplantation diagnosis
In vitro fertilization
El Texto completo está disponible en PDF
Bibliografía
[1.]
In vitro fertilization-embryo transfer (IVF-ET) in the United States: 1990 results from the IVF-ET Registry of the Medical Research International and Society for Assisted Reproductive Technology (SART).
Fertil Steril, 57 (1992), pp. 15-24
[2.]
G. Godman, B. Fisch, J. Ovadia, Y. Tadir.
Heterotopic pregnancy after assisted reproductive technologies.
Obstet Gynecol Surv, 47 (1992), pp. 217-221
[3.]
Z. Jiao, G. Zhuang, C. Zhou.
Ectopic pregnancy after in vitro fertilization and embryo transfer: clinical analysis of 17 cases.
Zhonghua Fu Chan Ke Za Zhi, 36 (2001), pp. 411-413
[4.]
S.A. Brigham, C. Conlon, R.G. Farquharson.
A longitudinal study of pregnancy outcome following idiopathic recurrent miscarriage.
Hum Reprod, 11 (1999), pp. 2868-2871
[5.]
C. Simon, C. Rubio, F. Vidal, C. Giménez, C. Moreno, J.J. Parrilla, et al.
Increased chromosome abnormalities in human preimplantation embryos after in-vitro fertilization in patients with recurrent miscarriage.
Reprod Fertil Dev, 10 (1998), pp. 87-92
[6.]
A. Golan, R. Ron-el, A. Herman, Y. Soffer, Z. Weinraub, E. Caspi.
Ovarian hyperstimulation syndrome: an update review.
Obstet Gynecol Surv, 44 (1989), pp. 430-440
[7.]
C. Chang, T. Wu, H. Tsai, H. Lo.
Bilateral simultaneous tubal sextuplets: pregnancy after in vitro fertilization embryo transfer following salpinguectomy Hum Reprod, 13 (1998), pp. 762-765
[8.]
J. Dor, D. Seidman, D. Levran, Z. Rafael, I. Shlomo, S. Maschiach.
The incidence of combined intrauterine and extrauterine pregnancy after in vitro fertilization and embryo transfer.
Fertil Steril, 55 (1991), pp. 833-834
[9.]
A. Lewin, A. Simon, I.L. Rabinowitz, J. Schenker.
Second trimester heterotopic pregnancy after in vitro fertilization and embryo transfer- a case report and review of the literature.
Int J Fertil, 36 (1991), pp. 227-230
[10.]
S.U. Chen, Y.S. Yang, H.N. Ho, T.M. Ko, F.J. Hsieh, T.Y. Lee.
Combined corneal pregnancy and intrauterine twin pregnancy after in vitro fertilization and embryo transfer: report of a case.
J Formos Med Assoc, 91 (1992), pp. 1002-1005
[11.]
B. Hennelly, R.F. Harrison, J. Kelly.
Spontaneous conception after a successful attempt at in vitro fertilization/intracytoplasmic sperm injection.
Fertil Steril, 73 (2000), pp. 774-778
[12.]
A.A. Milki, M.D. Hinckley, F.C. Grumet, U. Chitkara.
Concurrent IVF and spontaneous coception resulting in a quadruplet pregnancy.
Hum Reprod, 16 (2001), pp. 2324-2326
[13.]
A.J. Wilcox, C.R. Weinberg, D.D. Baird.
Timimg of sexual intercourse in relation to ovulation- effects on the probability of conception, survival of the pregnancy, and sex of the baby.
N Engl J Med, 333 (1995), pp. 1517-1521
[14.]
B. Behr, J.D. Fisch, C. Racowsky.
Blastocyst-ET and monozygotic twinning.
J Assit Reprod Gen, 17 (2000), pp. 349-351
[15.]
F.G. Cunningham, P.C. MacDonald, N.E. Gant.
Multifetal Pregnancy.
Williams obstetrics, 20th ed, pp. 862-864
[16.]
J.J. Martinek, M.L. Gallagher, G.F. Essig.
An electron microscopic study of fetal capillary basal laminar ”normal“ human term placentas.
Am J Obstet Gynecol, 121 (1975), pp. 17-24
[17.]
C. Wood.
Embryo splitting: a role in infertility?.
Reprod Fertil Dev, 13 (2001), pp. 91-93
[18.]
O. Avrech, A. Schoenfeld, J. Ovadia, B. Fisch.
Dizygotic triplet pregnancy following in vitro fertilization.
Hum Reprod, 8 (1993), pp. 2240-2242
[19.]
M.M. Biljan, J. Hewitt, C.R. Kingsland, C.T. Taylor.
Trizygotic quadruplet pregnancy following in vitro fertilization an additional factor against replacement of three embryos in young patients?.
Hum Reprod, 10 (1995), pp. 2269-2270
[20.]
I. Blickstein, H.C. Verhoeven, L.G. Keith.
Zygotic splitting after assisted reproduction.
N Engl J Med, 340 (1999), pp. 738-739
Copyright © 2003. Sociedad Española de Ginecología y Obstetricia
Descargar PDF
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos