[Diagnosis and treatment of intrauterine pregnancy associated with tubal pregnancy. Description of a clinical case]. / Diagnosi e trattamento di gravidanza intrauterina associata a gravidanza tubarica. Descrizione di un caso clinico.

ABSTRACT

Description of a clinical case. In the last decade we have witnessed an increase in both ectopic and twin pregnancies. These events have various causes, such as PID, tubal plastic surgery, the use of agents for the induction of ovulation and many others. The number of intra- and extra-associated pregnancies (phenomenon that was considered quite rare in the past) has also been increasing. A medical case that has come under our observation is being discussed. A woman patient arrived in our ward with typical symptomatology of threatened abortion at the 8th week of amenorrhea. The echographic test showed an intra-uterine pregnancy in regular progress associated with right latero uterine tumefaction. The Douglas cavum was full of liquid of probable hematic nature. The promptly performed laparoscopy confirmed the suspicion of intra and extra uterine associated pregnancy. The consequent right adnexectomy through laparotomy led to the solution of the case.