title: [Heterotopic gestation: diagnostic possibility after in vitro fertilization. A case report].
abstract: Heterotopic gestation, characterized by the presence of combined topic and ectopic gestation, until recently was considered to be a rare event occurring in 1:30,000 pregnancies. With the appearance of assisted reproduction techniques, this incidence increased to 1:100-500 gestations. Early diagnosis is difficult and frequently is made when the uterine tube has already ruptured. It's presented a case of heterotopic pregnancy diagnosed by means of a clinical presentation of hemorrhagic acute abdomen, with good progression of the topic gestation that resulted in birth. It's pointed out the importance of considering this pathology in the evaluation of women submitted to in vitro fertilization, with the objective of early treatment.
authors.affiliation: Laboratório, Centro Biológico de Reprodução Humana, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil. emit@ig.com.br
authors.forename: Nilka Fernandes
authors.initials: NF
authors.lastname: Donadio
authors.forename: Nilson
authors.initials: N
authors.lastname: Donadio
authors.forename: Priscila Takahashi
authors.initials: PT
authors.lastname: Martins
authors.forename: Camila De Grande
authors.initials: Cde G
authors.lastname: Cambiaghi
mesh_terms: D000328:Adult; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis*