Embarazo ectópico intersticial tratado con metotrexato y cirugía: caso clínico

6533b872fe1ef96bd12d42ae

RESEARCH PRODUCT

Embarazo ectópico intersticial tratado con metotrexato y cirugía: caso clínico

Daniel Mata-cano Ana Martínez-aspas Francisco Raga-baixauli Antonio Cano-sánchez Irene Zolfaroli

subject

embarazo cornual Embarazo intersticial metotrexato Obstetrics and Gynecology

description

RESUMEN Antecedentes: El embarazo intersticial es muy inusual y representa <2,4% de todos las gestaciones ectópicas. Objetivo: Se presenta el caso de un embarazo ectópico intersticial tratado de forma médica y quirúrgica. Se realiza una revisión literaria sobre las opciones de manejo y tratamiento. Caso clínico: Paciente primigesta de 36 años con gestación ectópica cornual derecha tras 11 días de la transferencia de un embrión criopreservado. Se decide tratamiento con metotrexato (MTX) sin éxito y con progresión del embarazo, obligándonos por lo tanto a realizar una evacuación quirúrgica de la gestación, exponiendo a la paciente tanto a los efectos secundarios del tratamiento médico como a los del abordaje quirúrgico. Conclusión: El embarazo ectópico intersticial sigue siendo un reto para el ginecólogo. El diagnóstico muy temprano de estas patologías, aunque difícil, podría evitar la opción quirúrgica, siendo el MTX más eficaz en los casos tratados precozmente.

year	journal	country	edition	language
2019-02-01	Revista chilena de obstetricia y ginecología

https://doi.org/10.4067/s0717-75262019000100064

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