RESUMEN
We report a case of a secundipara with heterotopic cesarean scar pregnancy (HCSP) treated with potassium chloride injection into the ectopic embryo followed by sac aspiration. The remaining "mass" increased in size threefold and was surrounded by a rich vascular network. An arteriovenous malformation was suspected; however, appropriate treatment was precluded because of the viability of the ectopic gestation. Sonographic examination revealed a morbidly adherent placenta, and attempt to resect the mass laparoscopically was complicated by bleeding that required hysterectomy. This case illustrates a complication of the intervention performed to preserve the intrauterine gestation in case of HCSP. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:227-230, 2018.
Asunto(s)
Cicatriz/diagnóstico por imagen , Enfermedades Placentarias/diagnóstico por imagen , Embarazo Ectópico/terapia , Ultrasonografía/métodos , Adulto , Cesárea , Diagnóstico Diferencial , Femenino , Humanos , Histerectomía , Placenta/diagnóstico por imagen , Enfermedades Placentarias/cirugía , Cloruro de Potasio/administración & dosificación , Embarazo , Resultado del TratamientoRESUMEN
Right atrium aneurysms are entities which are rarely reported in cardiologic practice, especially in intrauterine life, and may be mistaken with pericardial effusion and Ebstein's anomaly. We show a review of the literature and illustrate with a case of prenatal diagnosis of right atrium aneurysm running through with hydropsy signs.
Asunto(s)
Aneurisma Cardíaco/complicaciones , Hidropesía Fetal/etiología , Adulto , Anomalía de Ebstein/diagnóstico por imagen , Ecocardiografía , Resultado Fatal , Femenino , Aneurisma Cardíaco/diagnóstico por imagen , Humanos , Hidropesía Fetal/diagnóstico por imagen , Embarazo , Ultrasonografía PrenatalRESUMEN
Os aneurismas de átrio direito são entidades raramente relatadas na prática cardiológica, especialmente em vida intra-uterina, e podendo ser confundidos com derrame pericárdico e anomalia de Ebstein da valva tricúspide. Apresentamos revisão da literatura e ilustramos com caso de diagnóstico pré-natal de aneurisma de átrio direito cursando com sinais de hidropisia.