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Revista chilena de obstetricia y ginecología
versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526
Resumen
FLORES ACOSTA, Clara del Carmen; BARBOZA QUINTANA, Oralia; VIDAL GUTIERREZ, Oscar y MORALES MARTINEZ, Felipe. EMBARAZO ECTÓPICO MOLAR CORNUAL: CASO CLÍNICO. Rev. chil. obstet. ginecol. [online]. 2010, vol.75, n.2, pp.133-136. ISSN 0048-766X. http://dx.doi.org/10.4067/S0717-75262010000200010.
Background: The incidence of ectopic pregnancy is 20 per 1,000 pregnancies. The cornual ectopic pregnancy is found in 2-4%. Hydatidiform moles occur in 1 per 1000 pregnancies in USA and 1 per 500 in Mexico. Thus, the incidence of the two occurring together is very rare. Only 40 cases have been reported in the medical literature, the incidence estimate is 0.04%. Clinic case: We analyzed a 30 year old woman patient case, gravida 1, with 8 weeks gestation by last menstrual period, came at the Hospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, with complaints of nausea and vomiting for 1 day and abdominal pain, and transvaginal bleeding. A cualitative pregnancy test was positive. Physical examination revealed diffuse abdominal tenderness and peritoneal signs. The transvaginal ultrasonography showed a multicystic echogenic mass within the uterus near cornual region consistent with a molar pregnancy. A cornual resection was performed followed by dilation and curettage. Pathologic diagnosis was confrmed. The monitoring of ß-hGC titers was negative 7 weeks after surgery.
Palabras clave : Ectopic pregnancy; molar pregnancy; corneal pregnancy.