Torsión de pedículo de quiste anexial durante el embarazo: experiencia clínica preliminar al manejo conservador.
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| Title: | Torsión de pedículo de quiste anexial durante el embarazo: experiencia clínica preliminar al manejo conservador. |
|---|---|
| Alternate Title: | Adnexal torsion in pregnancy: preliminary clinical experience to conservative management. |
| Authors: | Freddy, Maita Q.1 freddymaita@hotmail.com, Nelly, Daza U.2 |
| Source: | Gaceta Médica Boliviana. ene-jun2018, Vol. 41 Issue 1, p6-9. 4p. |
| Abstract (English): | Objective: describe the usefulness of clinical signs, ultrasound and color Doppler for diagnosis and subsequent management in pregnancy. Method: retrospective observational study of 5 clinical cases initially diagnosed as torsion of pedicle of adnexal cyst and pregnancy, undergoing surgery management. Results: in 80% a correct preoperative diagnosis was made. In all cases, the direct sign of pedicle torsion was identified preoperatively, There was a false positive case of patient with the classic triad and very little vascular flow in its wall, interpreted as an indirect sign of pedicle torsion not corroborated in surgery. In 1 torsion case of pedicle of adnexal cyst, normal Color Doppler signal was identified in the cyst wall. Conclusion: ultrasound scan and clinical diagnosis correlated almost with all cases of adnexal cyst pedicle torsion in pregnancy. The Color Doppler did not provide more information than that obtained by the clinic and the ultrasound. The surgical management by laparotomy brought with it some complications such as the loss of the committed annex, abortion, longer hospital stay. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: describir la utilidad de los signos clínicos, la ecografía y el Doppler color para el diagnóstico y manejo posterior en el embarazo. Método: estudio observacional, retrospectivo de cinco casos clínicos inicialmente diagnosticados como torsión de pedículo de quiste anexial y embarazo, sometidos a cirugía. Resultados: en el 80% de los casos hubo un diagnóstico preoperatorio correcto. En todos los casos de torsión de pedículo se identificó preoperatoriamente el signo directo de torsión. Hubo un caso de falso positivo de una paciente con la triada clásica y flujo vascular muy escaso en su pared, interpretado como signo indirecto de torsión de pedículo no corroborado en la cirugía. En un caso de torsión, se identificó señal Doppler Color normal en la pared del quiste. Conclusión: al diagnóstico ecográfico y clínico se correlacionó casi con todos los casos de torsión de pedículo de quiste anexial en el embarazo. El Doppler color no aportó mayor información al obtenido por la clínica y la ecografía. El manejo quirúrgico por laparotomía trajo consigo algunas complicaciones como la pérdida del anexo comprometido, aborto, mayor estancia hospitalaria. [ABSTRACT FROM AUTHOR] |
| Copyright of Gaceta Médica Boliviana is the property of Universidad Mayor de San Simon, Facultad de Medicina 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: 130824400 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Torsión de pedículo de quiste anexial durante el embarazo: experiencia clínica preliminar al manejo conservador. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Adnexal torsion in pregnancy: preliminary clinical experience to conservative management. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Freddy%2C+Maita+Q%2E%22">Freddy, Maita Q.</searchLink><relatesTo>1</relatesTo><i> freddymaita@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Nelly%2C+Daza+U%2E%22">Nelly, Daza U.</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Gaceta+Médica+Boliviana%22">Gaceta Médica Boliviana</searchLink>. ene-jun2018, Vol. 41 Issue 1, p6-9. 4p. – Name: Abstract Label: Abstract (English) Group: Ab Data: Objective: describe the usefulness of clinical signs, ultrasound and color Doppler for diagnosis and subsequent management in pregnancy. Method: retrospective observational study of 5 clinical cases initially diagnosed as torsion of pedicle of adnexal cyst and pregnancy, undergoing surgery management. Results: in 80% a correct preoperative diagnosis was made. In all cases, the direct sign of pedicle torsion was identified preoperatively, There was a false positive case of patient with the classic triad and very little vascular flow in its wall, interpreted as an indirect sign of pedicle torsion not corroborated in surgery. In 1 torsion case of pedicle of adnexal cyst, normal Color Doppler signal was identified in the cyst wall. Conclusion: ultrasound scan and clinical diagnosis correlated almost with all cases of adnexal cyst pedicle torsion in pregnancy. The Color Doppler did not provide more information than that obtained by the clinic and the ultrasound. The surgical management by laparotomy brought with it some complications such as the loss of the committed annex, abortion, longer hospital stay. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivo: describir la utilidad de los signos clínicos, la ecografía y el Doppler color para el diagnóstico y manejo posterior en el embarazo. Método: estudio observacional, retrospectivo de cinco casos clínicos inicialmente diagnosticados como torsión de pedículo de quiste anexial y embarazo, sometidos a cirugía. Resultados: en el 80% de los casos hubo un diagnóstico preoperatorio correcto. En todos los casos de torsión de pedículo se identificó preoperatoriamente el signo directo de torsión. Hubo un caso de falso positivo de una paciente con la triada clásica y flujo vascular muy escaso en su pared, interpretado como signo indirecto de torsión de pedículo no corroborado en la cirugía. En un caso de torsión, se identificó señal Doppler Color normal en la pared del quiste. Conclusión: al diagnóstico ecográfico y clínico se correlacionó casi con todos los casos de torsión de pedículo de quiste anexial en el embarazo. El Doppler color no aportó mayor información al obtenido por la clínica y la ecografía. El manejo quirúrgico por laparotomía trajo consigo algunas complicaciones como la pérdida del anexo comprometido, aborto, mayor estancia hospitalaria. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Gaceta Médica Boliviana is the property of Universidad Mayor de San Simon, Facultad de Medicina 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: 10.47993/gmb.v41i1.139 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 4 StartPage: 6 Titles: – TitleFull: Torsión de pedículo de quiste anexial durante el embarazo: experiencia clínica preliminar al manejo conservador. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Freddy, Maita Q. – PersonEntity: Name: NameFull: Nelly, Daza U. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: ene-jun2018 Type: published Y: 2018 Identifiers: – Type: issn-print Value: 10122966 Numbering: – Type: volume Value: 41 – Type: issue Value: 1 Titles: – TitleFull: Gaceta Médica Boliviana Type: main |
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