title: [Heterotopic pregnancy in intrauterine insemination. Presentation of a case].
abstract: The heterotopic (ectopic and orthotopic simultaneous) pregnancy shows a frequency of 1 to 15,000 to 1 to 30,000 gestations. The clinical diagnosis is difficult due to the lack of precise indicators, as to diagnose an intrauterine pregnancy eliminates the possibility of ectopic pregnancy. The methods of Assisted Reproduction seem to be factors that have influenced on the increment of this type of gestations. A case of a 32 year patient with primary sterility by pelvic adhesions process, that was surgically treated, as there was no pregnancy after surgery, she was given intrauterine insemination with her husband's semen (IU) pregnancy was obtained, determined at 15 days of menstrual lack by presence of subunit B of HCG in serum and vaginal ultrasound that confirmed gestational sac. One month after she presented at Urgencies with an acute abdominal condition; laparotomy was done and salpingectomy was carried out for ruptured tubal pregnancy confirmed by histopathology. The evolution on intrauterine pregnancy was normal culminating with cesarean section at week 35 by inminence of eclampsia/Mother and child in good conditions.
authors.affiliation: Clinica de Fertilización Asistida, Instituto Nacional de Perinatologia, México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Kably Ambe
authors.forename: P
authors.initials: P
authors.lastname: Garza Rios
authors.forename: C
authors.initials: C
authors.lastname: Serviere Zaragoza
authors.forename: J
authors.initials: J
authors.lastname: Delgado Urdapilleta
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007317:Insemination, Artificial, Homologous / Q000009:adverse effects*; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000209:etiology*; D014599:Uterus
vernacular_title: Embarazo heterotópico con inseminación intrauterina. Presentación de un caso.