Placenta previa total acreta complicada con ruptura prematura de membranas pretérmino: reporte de un caso.
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| Title: | Placenta previa total acreta complicada con ruptura prematura de membranas pretérmino: reporte de un caso. |
|---|---|
| Alternate Title: | Total placenta praevia accreta complicated with preterm premature rupture of membranes: A case report. |
| Authors: | Fernández-Lara, J. A.1, Mendoza-Huerta, M.1, De La Maza-Labastida, S.2, Peña- Zepeda, C.3, Esparza-Valencia, D. M.4, Ling-García, J. P.4 pablolingg@outlook.com |
| Source: | Ginecología y Obstetricia de México. feb2018, Vol. 86 Issue 2, p151-157. 7p. |
| Subjects: | PLACENTA diseases, PLACENTA praevia, PREMATURE rupture of fetal membranes, CESAREAN section, THERAPEUTICS |
| Abstract (English): | BACKGROUND: The incidence of placental accreta has increased in industrialized countries, due to the increase in the rate of cesarean sections. On the other hand, the premature rupture of membranes (PPROM), complicate approximately 3% of all pregnancies and is associated mainly with neonatal complications related to prematurity. At present, there is no documented evidence in the medical literature of the approach of both pathologies together. CLINICAL CASE: 31-year-old woman at 30.2 weeks' gestation in her second pregnancy is admitted to the hospital with vaginal discharge. PROM is confirmed by fern-type crystallization and quantification of placental alpha macroglobulin-1 (PAMG-1) microglobulin by Amnisure ® test strip. Medical assessment is performed by the maternal-fetal specialists, finding complete placenta praevia with the presence of vascular lacunae with turbulent lacunar flow, myometrium thickness < 1mm and loss of the clear space. Fetal well-being is confirmed and conservative management of PPROM is initiated. Obstetric delivery is conducted at 31 weeks of gestation with Caesarean section - Hysterectomy without complications. CONCLUSIONS: The premature rupture of membranes in presence of placenta accreta is a rare complication. In this patients, conservative management is a suitable alternative, with an appropriate maternal and fetal surveillance. More evidence is required to indicate the conservative treatment in these patients. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | ANTECEDENTES: La incidencia de acretismo placentario se ha elevado en países industrializados debido al incremento en la tasa de cesáreas. La ruptura prematura de membranas pretérmino se asocia con complicaciones en 3% de todos los embarazos. En la actualidad no existen publicaciones que documenten la atención médica de ambas alteraciones en conjunto. CASO CLÍNICO: Paciente de 31 años, en curso del segundo embarazo (30.2 semanas de gestación), que acudió al servicio médico por salida de líquido transvaginal. Se confirmó la ruptura prematura de membranas pretérmino por cristalografía y determinación de microglobulina alfa 1 placentaria por tira reactiva Amnisure®. La valoración de los médicos del servicio de Medicina Materno- Fetal fue: placenta previa total, con lagunas placentarias y flujo turbulento, grosor miometrial menor de 1 mm y pérdida de la interfase deciduomiometrial. Después de comprobar el bienestar fetal se inició el tratamiento conservador de la ruptura prematura de membranas pretérmino. Se decidió finalizar el embarazo a las 31 semanas, debido a que se confirmó el inicio del trabajo de parto y actividad uterina normal; se efectuó cesárea-histerectomía sin complicaciones maternas. CONCLUSIÓN: La placenta previa total con datos de acretismo, concomitante con ruptura prematura de membranas pretérmino, es una complicación poco común. Estas pacientes deben recibir tratamiento conservador y adecuada vigilancia materno-fetal. A pesar de los buenos resultados obtenidos en este caso, se requiere mayor evidencia para indicar el tratamiento conservador en estas pacientes. [ABSTRACT FROM AUTHOR] |
| Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 128251365 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Placenta previa total acreta complicada con ruptura prematura de membranas pretérmino: reporte de un caso. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Total placenta praevia accreta complicated with preterm premature rupture of membranes: A case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Fernández-Lara%2C+J%2E+A%2E%22">Fernández-Lara, J. A.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Mendoza-Huerta%2C+M%2E%22">Mendoza-Huerta, M.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22De+La+Maza-Labastida%2C+S%2E%22">De La Maza-Labastida, S.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Peña-+Zepeda%2C+C%2E%22">Peña- Zepeda, C.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Esparza-Valencia%2C+D%2E+M%2E%22">Esparza-Valencia, D. M.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Ling-García%2C+J%2E+P%2E%22">Ling-García, J. P.</searchLink><relatesTo>4</relatesTo><i> pablolingg@outlook.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. feb2018, Vol. 86 Issue 2, p151-157. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22PLACENTA+diseases%22">PLACENTA diseases</searchLink><br /><searchLink fieldCode="DE" term="%22PLACENTA+praevia%22">PLACENTA praevia</searchLink><br /><searchLink fieldCode="DE" term="%22PREMATURE+rupture+of+fetal+membranes%22">PREMATURE rupture of fetal membranes</searchLink><br /><searchLink fieldCode="DE" term="%22CESAREAN+section%22">CESAREAN section</searchLink><br /><searchLink fieldCode="DE" term="%22THERAPEUTICS%22">THERAPEUTICS</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: The incidence of placental accreta has increased in industrialized countries, due to the increase in the rate of cesarean sections. On the other hand, the premature rupture of membranes (PPROM), complicate approximately 3% of all pregnancies and is associated mainly with neonatal complications related to prematurity. At present, there is no documented evidence in the medical literature of the approach of both pathologies together. CLINICAL CASE: 31-year-old woman at 30.2 weeks' gestation in her second pregnancy is admitted to the hospital with vaginal discharge. PROM is confirmed by fern-type crystallization and quantification of placental alpha macroglobulin-1 (PAMG-1) microglobulin by Amnisure ® test strip. Medical assessment is performed by the maternal-fetal specialists, finding complete placenta praevia with the presence of vascular lacunae with turbulent lacunar flow, myometrium thickness < 1mm and loss of the clear space. Fetal well-being is confirmed and conservative management of PPROM is initiated. Obstetric delivery is conducted at 31 weeks of gestation with Caesarean section - Hysterectomy without complications. CONCLUSIONS: The premature rupture of membranes in presence of placenta accreta is a rare complication. In this patients, conservative management is a suitable alternative, with an appropriate maternal and fetal surveillance. More evidence is required to indicate the conservative treatment in these patients. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: ANTECEDENTES: La incidencia de acretismo placentario se ha elevado en países industrializados debido al incremento en la tasa de cesáreas. La ruptura prematura de membranas pretérmino se asocia con complicaciones en 3% de todos los embarazos. En la actualidad no existen publicaciones que documenten la atención médica de ambas alteraciones en conjunto. CASO CLÍNICO: Paciente de 31 años, en curso del segundo embarazo (30.2 semanas de gestación), que acudió al servicio médico por salida de líquido transvaginal. Se confirmó la ruptura prematura de membranas pretérmino por cristalografía y determinación de microglobulina alfa 1 placentaria por tira reactiva Amnisure®. La valoración de los médicos del servicio de Medicina Materno- Fetal fue: placenta previa total, con lagunas placentarias y flujo turbulento, grosor miometrial menor de 1 mm y pérdida de la interfase deciduomiometrial. Después de comprobar el bienestar fetal se inició el tratamiento conservador de la ruptura prematura de membranas pretérmino. Se decidió finalizar el embarazo a las 31 semanas, debido a que se confirmó el inicio del trabajo de parto y actividad uterina normal; se efectuó cesárea-histerectomía sin complicaciones maternas. CONCLUSIÓN: La placenta previa total con datos de acretismo, concomitante con ruptura prematura de membranas pretérmino, es una complicación poco común. Estas pacientes deben recibir tratamiento conservador y adecuada vigilancia materno-fetal. A pesar de los buenos resultados obtenidos en este caso, se requiere mayor evidencia para indicar el tratamiento conservador en estas pacientes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24245/gom.v86i2.1568 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 151 Subjects: – SubjectFull: PLACENTA diseases Type: general – SubjectFull: PLACENTA praevia Type: general – SubjectFull: PREMATURE rupture of fetal membranes Type: general – SubjectFull: CESAREAN section Type: general – SubjectFull: THERAPEUTICS Type: general Titles: – TitleFull: Placenta previa total acreta complicada con ruptura prematura de membranas pretérmino: reporte de un caso. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Fernández-Lara, J. A. – PersonEntity: Name: NameFull: Mendoza-Huerta, M. – PersonEntity: Name: NameFull: De La Maza-Labastida, S. – PersonEntity: Name: NameFull: Peña- Zepeda, C. – PersonEntity: Name: NameFull: Esparza-Valencia, D. M. – PersonEntity: Name: NameFull: Ling-García, J. P. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: feb2018 Type: published Y: 2018 Identifiers: – Type: issn-print Value: 03009041 Numbering: – Type: volume Value: 86 – Type: issue Value: 2 Titles: – TitleFull: Ginecología y Obstetricia de México Type: main |
| ResultId | 1 |
