Tratamiento conservador en una paciente con embarazo ectópico cervical.
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| Title: | Tratamiento conservador en una paciente con embarazo ectópico cervical. |
|---|---|
| Alternate Title: | Conservative management in a patient with cervical ectopic pregnancy. |
| Authors: | Espinosa-González, Maria Clara1 maricespinosa@hotmail.com, Álvarez-Domínguez, Rafael Guillermo |
| Source: | Ginecología y Obstetricia de México. feb2022, Vol. 90 Issue 2, p187-190. 4p. |
| Subjects: | CONSERVATIVE treatment, ECTOPIC pregnancy, CONGENITAL disorders, UTERINE hemorrhage, TRANEXAMIC acid, UTERINE fibroids, MATERNAL mortality, GONADOTROPIN |
| Abstract (English): | BACKGROUND: The clinical manifestations of ectopic pregnancies are variable and may be related to congenital factors, the age of the patient, previous ectopic pregnancies, among others. OBJECTIVE: To report the case of a cervical ectopic pregnancy that received successful conservative medical treatment. CLINICAL CASE: A 32-year-old patient, nulliparous, who came to the clinic due to vaginal bleeding and pain in the hypogastrium, of three hours of evolution. Physical examination reported: blood pressure 80-40 mmHg, heart rate 100 beats per minute, respiratory rate 22 breaths per minute, Glasgow 1 5-15; generalized mucocutaneous pallor and cryodiaphoresis. The blood count reported: hemoglobin 7.3 mg/dL; hematocrit of 22.6; leukocytes: 1 5,000; neutrophils: 90%; platelets: 255,000; blood classification: AB+, positive pregnancy test, and transvaginal ultrasound with a diagnostic impression of a mass in the cervical region, compatible with cervical pregnancy vs uterine myomatosis. With the ultrasound suspicion of ectopic pregnancy, the determination of the betasubunit of human chorionic gonadotropin (β-hCG) was requested, titrating it at 1 8,273 mUl/mL, which required a transfusion of two units of blood products, due to the hemoglobin concentration, optimizing her figures at 9.6 mg/dL, with stable vital signs and decreased vaginal bleeding. The diagnosis of cervical ectopic pregnancy was established. Treatment with tranexamic acid was started. Hemoglobin was within reference limits. The patient had a satisfactory evolution, with decreased bleeding, so conservative treatment was maintained. CONCLUSION: Conservative treatment is an effective protocol in the follow-up and control of patients with ectopic pregnancy, since it reduces the risk of mortality and hysterectomy, after establishing the timely diagnosis, with anamnesis, ultrasound and β-hCG concentrations for diagnostic suspicion. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | ANTECEDENTES: Las manifestaciones clínicas del embarazo ectópico son variables y pueden relacionarse con factores congénitos, edad de la paciente, embarazos ectópicos previos, entre otros. OBJETIVO: Reportar el caso de una paciente con embarazo ectópico cervical que recibió tratamiento médico conservador. CASO CLÍNICO: Paciente de 32 años, nulípara, que acudió a consulta por sangrado vaginal y dolor en el hipogastrio, de tres horas de evolución. El examen físico reportó: presión arterial de 80-40 mmHg, frecuencia cardiaca de 100 latidos por minuto, frecuencia respiratoria de 22 respiraciones por minuto, Glasgow 15-15; palidez mucocutánea generalizada y criodiaforesis. El hemograma informó: hemoglobina de 7.3 mg/dL; hematocrito de 22.6; leucocitos: 15,000 neutrófilos: 90%; plaquetas: 255,000; hemoclasificación: AB+, prueba de embarazo positiva, y ecografía transvaginal con impresión diagnóstica de masa en la región cervical, compatible con embarazo cervical vs miomatosis uterina. Con la sospecha ecográfica de embarazo ectópico, se solicitó la determinación de la subunidad beta de gonadotropina coriónica humana (β-hCG), titulando en 1 8.273 mUl/mL, por lo que requirió trasfusión de dos unidades de hemoderivados, debido a la concentración de hemoglobina, optimizando sus cifras en 9.6 mg/dL, con signos vitales estables y disminución del sangrado vaginal. Se estableció el diagnóstico de embarazo ectópico cervical. Se inició tratamiento con ácido tranexámico. La hemoglobina estuvo en los límites de referencia. La paciente tuvo evolución satisfactoria, con disminución del sangrado, por lo que se mantuvo el tratamiento conservador. CONCLUSIÓN: El tratamiento conservadores un protocolo efectivo en el seguimiento y control de pacientes con embarazo ectópico, pues reduce el riesgo de mortalidad e histerectomía, después de establecer el diagnóstico oportuno, con anamnesis, ecografías y concentraciones de β-hCG por sospecha diagnóstica. [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 |
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| Items | – Name: Title Label: Title Group: Ti Data: Tratamiento conservador en una paciente con embarazo ectópico cervical. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Conservative management in a patient with cervical ectopic pregnancy. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Espinosa-González%2C+Maria+Clara%22">Espinosa-González, Maria Clara</searchLink><relatesTo>1</relatesTo><i> maricespinosa@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Álvarez-Domínguez%2C+Rafael+Guillermo%22">Álvarez-Domínguez, Rafael Guillermo</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. feb2022, Vol. 90 Issue 2, p187-190. 4p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CONSERVATIVE+treatment%22">CONSERVATIVE treatment</searchLink><br /><searchLink fieldCode="DE" term="%22ECTOPIC+pregnancy%22">ECTOPIC pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22CONGENITAL+disorders%22">CONGENITAL disorders</searchLink><br /><searchLink fieldCode="DE" term="%22UTERINE+hemorrhage%22">UTERINE hemorrhage</searchLink><br /><searchLink fieldCode="DE" term="%22TRANEXAMIC+acid%22">TRANEXAMIC acid</searchLink><br /><searchLink fieldCode="DE" term="%22UTERINE+fibroids%22">UTERINE fibroids</searchLink><br /><searchLink fieldCode="DE" term="%22MATERNAL+mortality%22">MATERNAL mortality</searchLink><br /><searchLink fieldCode="DE" term="%22GONADOTROPIN%22">GONADOTROPIN</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: The clinical manifestations of ectopic pregnancies are variable and may be related to congenital factors, the age of the patient, previous ectopic pregnancies, among others. OBJECTIVE: To report the case of a cervical ectopic pregnancy that received successful conservative medical treatment. CLINICAL CASE: A 32-year-old patient, nulliparous, who came to the clinic due to vaginal bleeding and pain in the hypogastrium, of three hours of evolution. Physical examination reported: blood pressure 80-40 mmHg, heart rate 100 beats per minute, respiratory rate 22 breaths per minute, Glasgow 1 5-15; generalized mucocutaneous pallor and cryodiaphoresis. The blood count reported: hemoglobin 7.3 mg/dL; hematocrit of 22.6; leukocytes: 1 5,000; neutrophils: 90%; platelets: 255,000; blood classification: AB+, positive pregnancy test, and transvaginal ultrasound with a diagnostic impression of a mass in the cervical region, compatible with cervical pregnancy vs uterine myomatosis. With the ultrasound suspicion of ectopic pregnancy, the determination of the betasubunit of human chorionic gonadotropin (β-hCG) was requested, titrating it at 1 8,273 mUl/mL, which required a transfusion of two units of blood products, due to the hemoglobin concentration, optimizing her figures at 9.6 mg/dL, with stable vital signs and decreased vaginal bleeding. The diagnosis of cervical ectopic pregnancy was established. Treatment with tranexamic acid was started. Hemoglobin was within reference limits. The patient had a satisfactory evolution, with decreased bleeding, so conservative treatment was maintained. CONCLUSION: Conservative treatment is an effective protocol in the follow-up and control of patients with ectopic pregnancy, since it reduces the risk of mortality and hysterectomy, after establishing the timely diagnosis, with anamnesis, ultrasound and β-hCG concentrations for diagnostic suspicion. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: ANTECEDENTES: Las manifestaciones clínicas del embarazo ectópico son variables y pueden relacionarse con factores congénitos, edad de la paciente, embarazos ectópicos previos, entre otros. OBJETIVO: Reportar el caso de una paciente con embarazo ectópico cervical que recibió tratamiento médico conservador. CASO CLÍNICO: Paciente de 32 años, nulípara, que acudió a consulta por sangrado vaginal y dolor en el hipogastrio, de tres horas de evolución. El examen físico reportó: presión arterial de 80-40 mmHg, frecuencia cardiaca de 100 latidos por minuto, frecuencia respiratoria de 22 respiraciones por minuto, Glasgow 15-15; palidez mucocutánea generalizada y criodiaforesis. El hemograma informó: hemoglobina de 7.3 mg/dL; hematocrito de 22.6; leucocitos: 15,000 neutrófilos: 90%; plaquetas: 255,000; hemoclasificación: AB+, prueba de embarazo positiva, y ecografía transvaginal con impresión diagnóstica de masa en la región cervical, compatible con embarazo cervical vs miomatosis uterina. Con la sospecha ecográfica de embarazo ectópico, se solicitó la determinación de la subunidad beta de gonadotropina coriónica humana (β-hCG), titulando en 1 8.273 mUl/mL, por lo que requirió trasfusión de dos unidades de hemoderivados, debido a la concentración de hemoglobina, optimizando sus cifras en 9.6 mg/dL, con signos vitales estables y disminución del sangrado vaginal. Se estableció el diagnóstico de embarazo ectópico cervical. Se inició tratamiento con ácido tranexámico. La hemoglobina estuvo en los límites de referencia. La paciente tuvo evolución satisfactoria, con disminución del sangrado, por lo que se mantuvo el tratamiento conservador. CONCLUSIÓN: El tratamiento conservadores un protocolo efectivo en el seguimiento y control de pacientes con embarazo ectópico, pues reduce el riesgo de mortalidad e histerectomía, después de establecer el diagnóstico oportuno, con anamnesis, ecografías y concentraciones de β-hCG por sospecha diagnóstica. [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.v90i2.5687 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 4 StartPage: 187 Subjects: – SubjectFull: CONSERVATIVE treatment Type: general – SubjectFull: ECTOPIC pregnancy Type: general – SubjectFull: CONGENITAL disorders Type: general – SubjectFull: UTERINE hemorrhage Type: general – SubjectFull: TRANEXAMIC acid Type: general – SubjectFull: UTERINE fibroids Type: general – SubjectFull: MATERNAL mortality Type: general – SubjectFull: GONADOTROPIN Type: general Titles: – TitleFull: Tratamiento conservador en una paciente con embarazo ectópico cervical. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Espinosa-González, Maria Clara – PersonEntity: Name: NameFull: Álvarez-Domínguez, Rafael Guillermo IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: feb2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 03009041 Numbering: – Type: volume Value: 90 – Type: issue Value: 2 Titles: – TitleFull: Ginecología y Obstetricia de México Type: main |
| ResultId | 1 |
