Leucemia linfoblástica aguda diagnosticada na vigência de parto, simulando síndrome Hellp / Acute lymphoblastic leukemia diagnosed in delivery force, simulating Hellp syndrome
Rev. méd. Minas Gerais
; 20(2,supl.1): S120-S122, abr.-jun. 2010.
Article
in Pt
| LILACS
| ID: lil-607712
Responsible library:
BR21.1
RESUMO
Este artigo relata a necessidade de realização de cesariana de emergência em paciente de 15 anos de idade, com 29 semanas de gestação, portadora de Leucemia linfoblástica aguda (LLA), pré-eclampsia e suspeita de síndrome HELLP. Possui a LLA baixa incidência durante a gravidez sendo, em geral, sua possibilidade diagnóstica pouco aventada. Neste relato, o diagnóstico de LLA não foi realizado de forma precoce no pré-natal, só tardiamente no pré-operatório da cesariana. A paciente evoluiu com instabilidade hemodinâmica, necessitando de terapia intensiva.
ABSTRACT
The ALL (acute lymphoblastic leukemia) is a disease with low incidence during pregnancy. This case report an emergency caesarean section in a patient of 15 years with 29 weeks of gestation, ALL, pré-eclâmpsia and suspect of HELLP Syndrome. It was difficult to diagnose ALL during prenatal and pre-operative period, which may be associated with low incidence of this disease during pregnancy. The patient developed hemodynamic instability, had to stay in the ICU and the ALL was diagnosed in the postoperative period. This study shows the differential diagnosis in ALL, the difficulties to the diagnosis, clinical reasoning and the therapeutic.
Key words
Full text:
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Index:
LILACS
Main subject:
Schistosomiasis
/
Myelitis
Type of study:
Diagnostic_studies
Limits:
Adolescent
/
Humans
/
Male
Language:
Pt
Journal:
Rev. méd. Minas Gerais
Journal subject:
MEDICINA
Year:
2010
Type:
Article