RESUMEN
CONTEXT: The lithopedion (calcified abdominal pregnancy) is a rare phenomenon and there are less than 300 cases reported in the medical literature. CASE REPORT: In this case, a 40 year-old patient had had her only pregnancy 18 years earlier, without medical assistance since then. She came to our hospital with pain and tumoral mass of approximately 20 centimeters in diameter. Complementary examinations (abdominal X-ray, ultrasonography and computerized tomography) demonstrated an extra-uterine abdominal 31-week pregnancy with calcification areas. Exploratory laparotomy was performed, with extirpation of a well-conserved fetus with partially calcified ovular membranes.
Asunto(s)
Calcinosis/diagnóstico , Muerte Fetal/diagnóstico , Embarazo Abdominal/diagnóstico , Adulto , Calcinosis/cirugía , Femenino , Muerte Fetal/cirugía , Humanos , Embarazo , Embarazo Abdominal/cirugíaRESUMEN
CONTEXT: The lithopedion (calcified abdominal pregnancy) is a rare phenomenon and there are less than 300 cases reported in the medical literature. CASE REPORT: In this case, a 40 year-old patient had had her only pregnancy 18 years earlier, without medical assistance since then. She came to our hospital with pain and tumoral mass of approximately 20 centimeters in diameter. Complementary examinations (abdominal X-ray, ultrasonography and computerized tomography) demonstrated an extra-uterine abdominal 31-week pregnancy with calcification areas. Exploratory laparotomy was performed, with extirpation of a well-conserved fetus with partially calcified ovular membranes
Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Embarazo Abdominal/diagnóstico , Calcinosis/diagnóstico , Muerte Fetal/diagnóstico , Embarazo Abdominal/cirugía , Calcinosis/cirugía , Radiografía Abdominal , Tomografía Computarizada por Rayos X , Muerte Fetal/cirugíaRESUMEN
O presente caso diz respeito a uma paciente portadora de cifoescoliose acentuada associada a pelve raquitica e sequela de poliomelite, contraida aos 11 meses de idade e pré eclampsia leve
Asunto(s)
Humanos , Femenino , Adulto , Poliomielitis/complicaciones , Embarazo de Alto Riesgo , Escoliosis/etiología , Anestesia Raquidea , Cesárea/métodos , Muerte Fetal/cirugía , Preeclampsia , UltrasonografíaRESUMEN
Se presenta un caso de embarazo ectópico en cavidad abdominal, su evolución clínica y la resolución del mismo, así como una revisión de la literatura mundial, haciendo énfasis en los aspectos históricos más relevantes, incidencia, clasificación, cuadro clínico y manejo. Finalmente se realiza un comentario en cuanto al abordaje quirúrgico y el manejo de la placenta
Asunto(s)
Embarazo , Adulto , Humanos , Femenino , Embarazo Ectópico/diagnóstico , Embarazo Ectópico/fisiopatología , Muerte Fetal/etiología , Muerte Fetal/cirugía , Complicaciones del Embarazo/fisiopatología , Complicaciones del Embarazo/cirugía , Embarazo Abdominal/diagnóstico , Embarazo Abdominal/fisiopatología , UltrasonidoRESUMEN
Foram analizadas retrospectivamente 13 gestaçoes de seis pacientes em uso de terapia anticoagulante devido a próteses de valvas cardíacas. A alta taxa de complicaçoes nessas gestaçoes, principalmente morte fetal (15 por cento), descolamento prematuro de placenta (23 por cento) e parto pré-termo (30 por cento), atribuídas principalmente ao uso dos anticoagulantes, vem confirmar o alto risco nessas pacientes, sendo sua prevençao usualmente indicada
Asunto(s)
Humanos , Femenino , Embarazo , Anexina A3 , Anticoagulantes/administración & dosificación , Anticoagulantes/efectos adversos , Prótesis Vascular/efectos adversos , Prótesis Vascular , Cumarinas/administración & dosificación , Cumarinas/efectos adversos , Muerte Fetal/cirugía , Feto/efectos de los fármacos , Heparina/administración & dosificación , Heparina/efectos adversos , Complicaciones del Embarazo , Pronóstico , Factores de RiesgoRESUMEN
A general review is made about concept, incidence and clinical features of abdominal pregnancy. The early and accurate diagnosis of an abdominal pregnancy is very important in order to avoid catastrophic hemorrhage from placental separation. A case is reported of a young woman hospitalized at Morelia's General Hospital, SSA, with an abdominal pregnancy. The fetus died about 26th week and underwent mummification. Some time later the fetus spontaneously divided and the lower segment extruded through the intestines. The remain upper thoracic and cephalic segment was removed at laparotomy closing an intestine stoma; 60% of the placenta was also removed. The postoperative course was uneventful.