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J Obstet Gynaecol Res ; 40(10): 2114-7, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25228435

RESUMEN

A 32-year-old woman had bilateral tubal and intrauterine pregnancies after hyperovulation with clomiphene citrate and subsequent artificial insemination with husband's semen. Laparoscopic surgery revealed bilateral tubal pregnancies. Salpingectomy was performed on the left tube and linear salpingotomy was performed on the right tube. The postoperative course was uneventful. The patient delivered a healthy girl vaginally at 39 weeks' gestation. Only eight cases with bilateral and intrauterine pregnancy have been reported. The live birth rate of bilateral tubal pregnancy and intrauterine pregnancy is 60% (6/10), which is similar to that of heterotopic pregnancy. Laparoscopic surgery is effective for confirming the diagnosis and treating heterotopic pregnancy.


Asunto(s)
Embarazo Heterotópico/diagnóstico , Embarazo Tubario/diagnóstico , Diagnóstico Prenatal , Dolor Abdominal/etiología , Adulto , Femenino , Humanos , Inseminación Artificial Homóloga/efectos adversos , Laparoscopía/efectos adversos , Nacimiento Vivo , Inducción de la Ovulación/efectos adversos , Embarazo , Primer Trimestre del Embarazo , Embarazo Heterotópico/fisiopatología , Embarazo Heterotópico/cirugía , Embarazo Tubario/fisiopatología , Embarazo Tubario/cirugía , Pronóstico , Salpingectomía/efectos adversos , Resultado del Tratamiento
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