{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T04:45:39Z","timestamp":1777956339010,"version":"3.51.4"},"reference-count":11,"publisher":"Universidad del Valle","issue":"1","license":[{"start":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T00:00:00Z","timestamp":1743292800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"},{"start":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T00:00:00Z","timestamp":1743292800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["colombiamedica.univalle.edu.co"],"crossmark-restriction":true},"short-container-title":["Colomb Med"],"abstract":"<jats:p>Case DescriptionA 35-year-old woman with a history of intrauterine device use for family planning presented with a spontaneously conceived heterotopic pregnancy.\nClinical FindingsThe patient developed a ruptured cornual ectopic pregnancy, leading to hemodynamic instability and an acute abdomen, while concurrently carrying a viable intrauterine pregnancy.\nTreatment and OutcomeA laparoscopic intervention was performed to manage the ruptured ectopic pregnancy. The surgical technique employed minimized the impact on maternal blood volume, ensuring patient stabilization and favorable progression of the intrauterine pregnancy.\nClinical RelevanceHeterotopic pregnancy is the coexistence of gestation in two different implantation sites, both intrauterine and extrauterine. This condition is associated with significant maternal morbidity and mortality. Management remains a challenge due to the lack of consensus and limited clinical experience. The primary goal is maternal stabilization while preserving the intrauterine pregnancy whenever possible. This case highlights the importance of modern surgical strategies tailored to optimize maternal and fetal outcomes.<\/jats:p>","DOI":"10.25100\/cm.v56i1.5576","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T21:18:14Z","timestamp":1747257494000},"page":"e5005576","update-policy":"https:\/\/doi.org\/10.25100\/cm.crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopic surgical alternative for the treatment of ruptured cornual heterotopic pregnancy","Alternativa quir\u00fargica laparosc\u00f3pica en el tratamiento de embarazo heterot\u00f3pico cornual roto"],"prefix":"10.25100","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1308-8083","authenticated-orcid":false,"given":"Enrique","family":"Herrera Casta\u00f1eda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4472-1522","authenticated-orcid":false,"given":"Gustavo","family":"Luna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4577-2660","authenticated-orcid":false,"given":"Jessica","family":"Sejnaui Sayegh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4923-1067","authenticated-orcid":false,"given":"Luisa M.","family":"Vacca Orrego","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4094-5220","authenticated-orcid":false,"given":"Juan Manuel","family":"Tobar Parra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10728","published-online":{"date-parts":[[2025,3,30]]},"reference":[{"key":"93516","doi-asserted-by":"crossref","unstructured":"Maleki A, Khalid N, Rajesh Patel C, El-Mahdi E. The rising incidence of heterotopic pregnancy: current perspectives and associations with in-vitro fertilization. Eur J Obstet Amp Gynecol Reprod Biol. 2021; 266: 13844. https:\/\/doi.org\/10.1016\/j.ejogrb.2021.09.031 PMid:34653918","DOI":"10.1016\/j.ejogrb.2021.09.031"},{"key":"93517","doi-asserted-by":"crossref","unstructured":"Bataille P, Reynard A, Ducarme G. Spontaneous heterotopic triplets - A review of literature. J Gynecol Obstet Hum Reprod. 2017; 46(8): 657-9. https:\/\/doi.org\/10.1016\/j.jogoh.2017.05.008 PMid:28549987","DOI":"10.1016\/j.jogoh.2017.05.008"},{"key":"93518","unstructured":"CNRS. Grossesses h\u00e9t\u00e9rotopiques: \u00e0 propos de trois cas. Bases bibliographiques Pascal et Francis-Home ; 2002. Cited: 6 de febrero de 2025. http:\/\/pascal-francis.inist.fr\/vibad\/index. php?action=getRecordDetail&idt=13985703"},{"key":"93519","doi-asserted-by":"crossref","unstructured":"Wu Z, Zhang X, Xu P, Huang X. Clinical analysis of 50 patients with heterotopic pregnancy after ovulation induction or embryo transfer. Eur J Med Res . 2018; 23(1): 17. https:\/\/doi.org\/10.1186\/s40001-018-0316-y PMid:29661236 PMCid:PMC5902974","DOI":"10.1186\/s40001-018-0316-y"},{"key":"93520","doi-asserted-by":"crossref","unstructured":"Moawad NS, Mahajan ST, Moniz MH, Taylor SE, Hurd WW. Current diagnosis and treatment of interstitial pregnancy. Am J Obstet Gynecol. 2010; 202(1): 15-29. https:\/\/doi.org\/10.1016\/j.ajog.2009.07.054 PMid:20096253","DOI":"10.1016\/j.ajog.2009.07.054"},{"key":"93521","doi-asserted-by":"crossref","unstructured":"Dendas W, Schobbens JC, Mestdagh G, Meylaerts L, Verswijvel G, Van Holsbeke C. Management and outcome of heterotopic interstitial pregnancy: case report and review of literature. Ultrasound. 2017; 25(3): 13442. https:\/\/doi.org\/10.1177\/1742271X17710965 PMid:29410688 PMCid:PMC5794052","DOI":"10.1177\/1742271X17710965"},{"key":"93522","doi-asserted-by":"crossref","unstructured":"Li YL, Chuang FC, Lan KC. Laparoscopic management of second trimester ruptured cornual heterotopic pregnancy with subsequent live birth delivery: a case report and literature review. Taiwan J Obstet Gynecol. 2023; 62(2): 363-8. https:\/\/doi.org\/10.1016\/j.tjog.2022.07.013 PMid:36965911","DOI":"10.1016\/j.tjog.2022.07.013"},{"key":"93523","doi-asserted-by":"crossref","unstructured":"Barrenetxea G, Barinaga-Rementeria L, Lopez deLA, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: two cases and a comparative review. Fertil Steril. 2007; 87(2): 417.e9-417.e15. https:\/\/doi.org\/10.1016\/j.fertnstert.2006.05.085 PMid:17074353","DOI":"10.1016\/j.fertnstert.2006.05.085"},{"key":"93524","doi-asserted-by":"crossref","unstructured":"Noor N, Parveen S, Bano I. Heterotopic pregnancy with successful pregnancy outcome. J Hum Reprod Sci. 2012; 5(2): 213. https:\/\/doi.org\/10.4103\/0974-1208.101024 PMid:23162362 PMCid:PMC3493838","DOI":"10.4103\/0974-1208.101024"},{"key":"93525","doi-asserted-by":"crossref","unstructured":"Ricci A P, Lema C R, Sol\u00e1 D V, Pardo S J, Guiloff F E. Desarrollo de la cirug\u00eda laparoscopica: pasado, presente y futuro: desde hip\u00f3crates hasta la introducci\u00f3n de la rob\u00f3tica en laparoscopia ginecol\u00f3gica. Rev Chil Obstet Ginecol. 2008; 73(1): 63-75. https:\/\/doi.org\/10.4067\/S0717-75262008000100011","DOI":"10.4067\/S0717-75262008000100011"},{"key":"93526","doi-asserted-by":"crossref","unstructured":"Kuczkowski KM. Laparoscopic procedures during pregnancy and the risks of anesthesia: what does an obstetrician need to know? Arch Gynecol Obstet. 2007; 276(3): 201-9. https:\/\/doi.org\/10.1007\/s00404-007-0338-0 PMid:17431650","DOI":"10.1007\/s00404-007-0338-0"}],"container-title":["Colombia Medica"],"original-title":[],"link":[{"URL":"https:\/\/colombiamedica.univalle.edu.co\/index.php\/comedica\/article\/download\/5576\/8297","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/colombiamedica.univalle.edu.co\/index.php\/comedica\/article\/download\/5576\/8307","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/colombiamedica.univalle.edu.co\/index.php\/comedica\/article\/download\/5576\/8319","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/colombiamedica.univalle.edu.co\/index.php\/comedica\/article\/download\/5576\/8308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:50:35Z","timestamp":1777945835000},"score":1,"resource":{"primary":{"URL":"https:\/\/colombiamedica.univalle.edu.co\/index.php\/comedica\/article\/view\/5576"}},"subtitle":["Case report","Reporte de caso"],"short-title":[],"issued":{"date-parts":[[2025,3,30]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,5,12]]}},"URL":"https:\/\/doi.org\/10.25100\/cm.v56i1.5576","relation":{},"ISSN":["1657-9534","0120-8322"],"issn-type":[{"value":"1657-9534","type":"electronic"},{"value":"0120-8322","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3,30]]},"assertion":[{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"2025-03-30","name":"published","label":"Published"}]}}