Medicina
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Item “Embarazo ectópico cornual”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-10-01) Salinas Velastegui, Verónica Gabriela; Belalcázar Sánchez Dra. Esp., Yajaira MonserrathEctopic pregnancy is considered one of the main causes of maternal mortality, and one of the most frequent problems in Obstetrics services, both public and private, is for this reason that it is decided to present this case of rare incidence worldwide, with in order to know the causes, diagnosis, risk factors and proper management of this pathology. The case analysis to be presented corresponds to a 34 year old female patient, resident in Ambato, higher education, mestizo, without significant personal pathological history, with gynecological and obstetric history: date of last menstruation April 3, 2017, gestational age 9.2 weeks of gestation, gestations: 2, deliveries: 0, abortions: 1, live children: 0, dead children: 0, pregnancy 1: spontaneous abortion at 5 weeks of gestation, pregnancy 2: current. Patient who enters the gynecological emergency service of the Ambato General Hospital (IESS) due to scarce vaginal bleeding of chocolate color of 15 days of evolution, at the physical examination: normal vital signs, abdomen: slightly distended, depressible not painful on palpation, region inguinogenital; presence of little chocolate secretion, tests are requested which report: positive BHCG in blood, progesterone 8.18 ng/ml, EMO: infectious, transvaginal ultrasound: complex left adnexal mass, empty uterine cavity, reason for which laparoscopy is performed exploratory study in which there is a non-injured left cornual ectopic pregnancy, subserous uterine myoma and conversion to laparotomy is decided for ectopic pregnancy removal and incidental myomectomy; postsurgical with satisfactory evolution, high in good conditions.