RESSECÇÃO CORNUAL UTERINA E SALPINGECTOMIA DIREITA LAPAROTÔMICA SEGUIDA DE CURETAGEM UTERINA VIA VAGINAL POR GESTAÇÃO HETEROTÓPICA: UM RELATO DE CASO

• DOI: 10.22533/at.ed.40919270919

• Palavras-chave: Gestação heterotópica; ectópica; cornual

• Keywords: Heterotopic gestation; ectopic; cornual

• Abstract:

  Heterotopic prenancy is the

  coexistence of ectopic and topic gestation,

  whose incidence has been increased along

  decades (attributed to the assistes reproduction

  techniques), varying from 1: 3,889 to 1: 6,778.

  Cornual or interstitial ectopic pregnancy is

  characterized by the implantation of the concept

  at the junction of the tuba with the uterine body. It accounts for 2 to 4% of all ectopic pregnancies and is associated with 2 to 3% of

  the maternal mortality rate. Aiming to present a rare pathology, with possible maternal

  repercussions of emergency and, therefore, of medical importance in the early

  detection and assertive resolution. The reported case demonstrated the importance of

  ultrasonography in the diagnosis, thus being considered the gold standard examination

  for early detection of the pathology for all patients with this suspicion, having a sensitivity

  of 87% and specificity of 99% for ectopic pregnancies. Interstitial gestation presents

  an increased risk for hemorrhagic complications, due to its anatomic proximity to the

  uterine vessels and consequently higher associated mortality and its incidence has

  been increasing in the last decades, since the risk factors for this pathology have

  also increased. The case exemplifies a pathology of medical importance, since early

  detection significantly alters the prognosis.

• Número de páginas: 15