Clinical, anatomical and surgical characterization of ectopic pregnancy at the Fe del Valle Ramos Hospital, 2023-2024
Keywords:
Ectopic pregnancy, Salpingectomy, Gynecological and obstetric emergency, Late diagnosisAbstract
Introduction: ectopic pregnancy is a high-risk obstetric emergency requiring timely surgical intervention to prevent serious complications, including maternal mortality. In the context of the "Fe del Valle Ramos" Hospital, no recent studies existed characterizing its surgical management.
Objective: to characterize the clinical presentation, anatomical location, and surgical treatment of ectopic pregnancy in pregnant women treated at the Fe del Valle Ramos Hospital in Manzanillo.
Methods: a retrospective, cross-sectional, descriptive, observational study was conducted. One hundred and fifty-two pregnant women aged 18 to 35 years with a confirmed diagnosis of ectopic pregnancy, treated between January 2023 and December 2024, were included. Data were obtained through a review of medical records and a structured questionnaire. Statistical analysis included absolute and relative frequencies.
Results: ruptured ectopic pregnancy predominated (65,1 %; n=99). The most frequent anatomical location was the ampullary fallopian tube (63,1 %; n=96). The primary surgical treatment was salpingectomy (83,5 %; n=127).
Conclusions: the profile of ectopic pregnancy in the studied hospital is characterized by late diagnosis (ruptured state), a predominant ampullary location, and radical surgical treatment via salpingectomy. These findings highlight the need to implement strategies for early diagnosis and evaluate the feasibility of conservative therapeutic options, in accordance with current clinical guidelines.
Downloads
References
1. Rivera C, Pomés C, Díaz V, Espinoza P, Zamboni M. Actualización del enfrentamiento y manejo de localizaciones poco frecuentes del embarazo ectópico. Rev Chil Obstet Ginecol [Internet]. 2020 [citado 24/01/2025];85(6):709-24. Disponible en: https://www.scielo.cl/pdf/rchog/v85n6/0717-7526-rchog-85-06-0709.pdf
2. Lima de Paula LT, Maia Machado TG, Lima da Costa RS. Etiologia e fatores de risco associados a gravidez ectópica. Recima21 [Internet]. 2023 [citado 24/01/2025];4(5):e453203. Disponible en: https://recima21.com.br/index.php/recima21/article/view/3203/2329
3. Paiba Samamé MB. Caracteristicas clinicas, laboratoriales, epidemiológicas y ecograficas de pacientes con respuesta al tratamiento con metrotexate en embarazo ectópico, 2014 - 2018 [Internet]. Lambayeque, Perú: Universidad Nacional Pedro Ruiz Gallo; 2019 [citado 24/01/2025]. Disponible en: https://repositorio.unprg.edu.pe/bitstream/handle/20.500.12893/4908/BC-TES-3708%20PAIBA%20SAMAME.pdf?sequence=1&isAllowed=y
4. Villanueva Rodríguez R, Carmona Librado R, Cassou Martínez M, Hurtado Bravo HA, Ayala Juárez M. Embarazo ectópico roto con fracción beta de la hormona gonadotropina coriónica humana negativa: reporte de caso. Rev Chil Obstet Ginecol [Internet]. 2022 [citado 25/01/2025];87(4):299-303. Disponible en: https://www.rechog.com/files/rechog_22_87_4_299-303.pdf
5. Argilagos Casasayas G, Pavón de la Tejera I, Romero García LI, Guzmán Pérez N, López Barroso R. Estudio de los factores relacionados con el embarazo ectópico en el Hospital Materno Tamara Bunke Bíder entre 1991-2015. MEDISAN [Internet]. 2024 [citado 25/01/2025];28(5):e5040. Disponible en: https://medisan.sld.cu/index.php/san/article/view/5040/pdf
6. Martínez Rodríguez NA, Bravo Mosquera DE, Suárez Lescano HB, Cuadrado Suárez EA, Velásquez López GF. Diagnóstico y manejo del embarazo ectópico: revisión de la literatura. J Am Health [Internet]. 2023 [citado 25/01/2025];6(1):[aprox. 10 p.]. Disponible en: https://jah-journal.com/index.php/jah/article/view/159/304
7. Bolaños Bravo HH, Ricaurte Fajardo A, Zarama Márquez F, Ricaurte Sossa A, Fajardo Rivera R, Chicaiza Maya R, et al. Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: reporte de caso y revisión de la literatura. Rev Colomb Obstet Ginecol [Internet]. 2019 [citado 26/01/2025];70(4):277-92. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/3357/3556
8. Bertin F, Montecinos M, Torres P, Pinto P. Embarazo ectópico cornual, diagnóstico y tratamiento: reporte de dos casos y revisión de la literatura. Rev Chil Obstet Ginecol [Internet]. 2019 [citado 26/01/2025];84(1):55-63. Disponible en: https://www.researchgate.net/publication/333099752_Embarazo_ectopico_cornual_diagnostico_y_tratamiento_reporte_de_dos_casos_y_revision_de_la_literatura
9. Camacho Ríos CE, Tovar Galván V, Illanes Guzmán ES, Vital Reyes VS. Tratamiento quirúrgico conservador del embarazo intersticial, con antecedente de salpingectomía homolateral. Reporte de un caso. Ginecol Obstet Mex [Internet]. 2022 [citado 26/01/2025];90(8):701-5. Disponible en: https://www.scielo.org.mx/pdf/gom/v90n8/0300-9041-gom-90-08-701.pdf
10. Ayala Pacheco BF, Hernández Álvarez C. Comparación de los resultados de manejo laparoscópico del embarazo ectópico con el uso de energía bipolar avanzada versus híbrida (ultrasónica más bipolar). Acta Méd [Internet]. 2021 [citado 26/01/2025];19(1):9-14. Disponible en: https://www.scielo.org.mx/pdf/amga/v19n1/1870-7203-amga-19-01-9.pdf
11. Sharma S, Sharma S. The Prevalence and Epidemiology of Ectopic Pregnancies in SMGS: A Tertiary Health Care Hospital in Jammu, India. Int J Reprod Med Gynecol [Internet]. 2020 [citado 27/01/2025];6(1):25-30. Disponible en: https://www.sciresliterature.org/Gynecology/IJRMG-ID53.pdf
12. Perdomo Duero LC, Llanos Aceros JE. Caracterización Clínico-Epidemiológica de las Pacientes Atendidas por Embarazo Ectópico en el Hospital Universitario Erasmo Meóz, Cúcuta, Colombia Lapso 2017-2021 [Internet]. Cúcuta, Colombia: Universidad de Santander; 2023 [citado 27/01/2025]. Disponible en: https://repositorio.udes.edu.co/server/api/core/bitstreams/72655a74-3673-4dcb-8ce8-0b283f904dfb/content
13. Ángel Ramos JE del. Embarazo ectópico: factores de riesgo y características clínicas. experiencia de 10 años en un centro de tercer nivel [Internet]. Nuevo León, México: Universidad Autónoma de Nuevo León; 2021 [citado 27/01/2025]. Disponible en: http://eprints.uanl.mx/20513/1/Dr.%20Jaime%20Eduardo%20Del%20Angel%20Ramos.pdf
14. Huaman Pacco KA. Perfil epidemiológico-clínico-quirúrgico del embarazo ectópico en pacientes atendidas en el Hospital de Quillabamba, 2016-2020 [Internet]. Cusco, Perú: Universidad Nacional de San Antonio Abad del Cusco; 2021 [citado 28/01/2025]. Disponible en: http://repositorio.unsaac.edu.pe/bitstream/handle/20.500.12918/5777/253T20210103_TC.pdf?sequence=1&isAllowed=y
15. Martínez Guadalupe Ángel Iván, Mascaro Rivera Yuri Sandy, Méjico Mendoza Sammy Walter, Mere del Castillo Juan Francisco. Características epidemiológicas, clínicas y quirúrgicas de pacientes con embarazo ectópico en el Hospital Nacional Arzobispo Loayza. Rev. peru. ginecol. obstet. [Internet]. 2013 [citado 28/01/2025]; 59(3):171-176. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2304-51322013000300005&lng=es
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Robin Fajardo-Alcalá, Rolando Javier Álvarez-Pérez, Ivanis Idael Corría-Milán, María Caridad García-Espinosa , Olegario Leyva-Escalona , Dariela María Cisneros-Pérez
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Those authors who have publications with this journal accept the following terms: The authors will retain their copyright and guarantee the journal the right of first publication of their work, which will be simultaneously subject to the Recognition License. Creative Commons that allows third parties to share the work as long as its author and its first publication in this magazine are indicated. Authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a monographic volume) as long as the initial publication in this journal is indicated. Authors are allowed and recommended to disseminate their work through the Internet (e.g.: in institutional telematic archives or on your website) before and during the submission process, which can produce interesting exchanges and increase citations of the published work.
