Colecistitis aguda durante el segundo trimestre del embarazo: reporte de un caso.
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| Title: | Colecistitis aguda durante el segundo trimestre del embarazo: reporte de un caso. |
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| Alternate Title: | Acute cholecystitis during the second trimester of pregnancy: A case report. |
| Authors: | Ibarra-Rovirosa, Esther Alejandra1 eair_9@hotmail.com, García-Hernández, Gabriel Gerardo2, Flores-Mendoza, Jorge Enrique3, Silva-Hernández, Rubén Jesús4, Martínez-Hernández, Clara Magdalena5, Pérez-Alcázar, Keydi Viridiana1 |
| Source: | Ginecología y Obstetricia de México. jun2022, Vol. 90 Issue 6, p520-524. 5p. |
| Subjects: | ACALCULOUS cholecystitis, SECOND trimester of pregnancy, LAPAROSCOPY, CESAREAN section, PRENATAL care |
| Abstract (English): | BACKGROUND: Bile duct pathologies, specifically acute cholecystitis, is the second most common cause of non-obstetric surgical emergency, with an incidence of 1 in 1,600 to 10,000 pregnancies. OBJECTIVE: Report of a case of a patient with acute cholecystitis during the second trimester of pregnancy treated by laparoscopic surgery. CLINICAL CASE: 34-year-old female, pregnancy 3, childbirth 2; with pregnancy of 16.5 weeks. She presented colicky abdominal pain located in the right upper quadrant. Physical examination revealed abdomen with normoaudible peristalsis, soft, depressible, pain on medium and deep palpation in the right hypochondrium, murphy sign (-), no evidence of peritoneal irritation, no plastrons palpated, uterus above symphysis of the pubis. Abdominal ultrasound reports a well-defined vesicle with regular and well-defined borders, with a thin wall, with the presence of multiple stones in its interior. There was no presence of leukocytosis. Laparoscopic surgical management was decided, during which a gallbladder with tension walls, a short, dilated cystic duct, with an impacted stone was found. No complications were reported. She continued her prenatal care in our hospital unit and the pregnancy was resolved by cesarean section. Neonatal outcomes were optimal. CONCLUSIONS: Cholecystitis is one of the main non-obstetric surgical pathologies that occur in pregnancy, it is important to consider that the fact of postponing surgery could have consequences for both the mother and the fetus, so the timely diagnosis and management of this type of pathology must be carried out. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | ANTECEDENTES: La colecistitis aguda es la segunda causa más frecuente de urgencia quirúrgica no obstétrica, con una incidencia de 1 caso por cada 1600 a 10,000 embarazos. OBJETIVO: Reportar el caso de una paciente con colecistitis aguda durante el segundo trimestre del embarazo tratada mediante cirugía laparoscópica. CASO CLÍNICO: Paciente de 34 años, con 16.5 semanas de embarazo. Acudió a consulta debido a un dolor abdominal de tipo cólico en el hipocondrio derecho. A la exploración física se encontraron: abdomen blando, depresible, dolor a la palpación en el flanco e hipocondrio derechos, signo de Murphy negativo, sin datos de irritación peritoneal; no se palparon plastrones; el útero se encontraba arriba de la sínfisis del pubis. El ultrasonido abdominal mostró la vesícula debidamente delimitada, con bordes regulares y definidos, con pared delgada y múltiples cálculos en su interior. No se evidenció leucocitosis. Los reportes de la laparoscopia fueron: vesícula con paredes a tensión, el conducto cístico corto, dilatado, con un cálculo retenido. No se informaron complicaciones. La paciente fue dada de alta a las 48 horas del posoperatorio. Continuó en control prenatal y finalizó el embarazo por cesárea. El desenlace neonatal fue satisfactorio. CONCLUSIONES: La colecistitis es una de las principales alteraciones durante el embarazo. Postergar la cirugía supone consecuencias para la madre y el feto, por lo que debe establecerse el diagnóstico y tratamiento oportunos. [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: 157282607 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Colecistitis aguda durante el segundo trimestre del embarazo: reporte de un caso. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Acute cholecystitis during the second trimester of pregnancy: A case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ibarra-Rovirosa%2C+Esther+Alejandra%22">Ibarra-Rovirosa, Esther Alejandra</searchLink><relatesTo>1</relatesTo><i> eair_9@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22García-Hernández%2C+Gabriel+Gerardo%22">García-Hernández, Gabriel Gerardo</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Flores-Mendoza%2C+Jorge+Enrique%22">Flores-Mendoza, Jorge Enrique</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Silva-Hernández%2C+Rubén+Jesús%22">Silva-Hernández, Rubén Jesús</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Martínez-Hernández%2C+Clara+Magdalena%22">Martínez-Hernández, Clara Magdalena</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Pérez-Alcázar%2C+Keydi+Viridiana%22">Pérez-Alcázar, Keydi Viridiana</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. jun2022, Vol. 90 Issue 6, p520-524. 5p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22ACALCULOUS+cholecystitis%22">ACALCULOUS cholecystitis</searchLink><br /><searchLink fieldCode="DE" term="%22SECOND+trimester+of+pregnancy%22">SECOND trimester of pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22LAPAROSCOPY%22">LAPAROSCOPY</searchLink><br /><searchLink fieldCode="DE" term="%22CESAREAN+section%22">CESAREAN section</searchLink><br /><searchLink fieldCode="DE" term="%22PRENATAL+care%22">PRENATAL care</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: Bile duct pathologies, specifically acute cholecystitis, is the second most common cause of non-obstetric surgical emergency, with an incidence of 1 in 1,600 to 10,000 pregnancies. OBJECTIVE: Report of a case of a patient with acute cholecystitis during the second trimester of pregnancy treated by laparoscopic surgery. CLINICAL CASE: 34-year-old female, pregnancy 3, childbirth 2; with pregnancy of 16.5 weeks. She presented colicky abdominal pain located in the right upper quadrant. Physical examination revealed abdomen with normoaudible peristalsis, soft, depressible, pain on medium and deep palpation in the right hypochondrium, murphy sign (-), no evidence of peritoneal irritation, no plastrons palpated, uterus above symphysis of the pubis. Abdominal ultrasound reports a well-defined vesicle with regular and well-defined borders, with a thin wall, with the presence of multiple stones in its interior. There was no presence of leukocytosis. Laparoscopic surgical management was decided, during which a gallbladder with tension walls, a short, dilated cystic duct, with an impacted stone was found. No complications were reported. She continued her prenatal care in our hospital unit and the pregnancy was resolved by cesarean section. Neonatal outcomes were optimal. CONCLUSIONS: Cholecystitis is one of the main non-obstetric surgical pathologies that occur in pregnancy, it is important to consider that the fact of postponing surgery could have consequences for both the mother and the fetus, so the timely diagnosis and management of this type of pathology must be carried out. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: ANTECEDENTES: La colecistitis aguda es la segunda causa más frecuente de urgencia quirúrgica no obstétrica, con una incidencia de 1 caso por cada 1600 a 10,000 embarazos. OBJETIVO: Reportar el caso de una paciente con colecistitis aguda durante el segundo trimestre del embarazo tratada mediante cirugía laparoscópica. CASO CLÍNICO: Paciente de 34 años, con 16.5 semanas de embarazo. Acudió a consulta debido a un dolor abdominal de tipo cólico en el hipocondrio derecho. A la exploración física se encontraron: abdomen blando, depresible, dolor a la palpación en el flanco e hipocondrio derechos, signo de Murphy negativo, sin datos de irritación peritoneal; no se palparon plastrones; el útero se encontraba arriba de la sínfisis del pubis. El ultrasonido abdominal mostró la vesícula debidamente delimitada, con bordes regulares y definidos, con pared delgada y múltiples cálculos en su interior. No se evidenció leucocitosis. Los reportes de la laparoscopia fueron: vesícula con paredes a tensión, el conducto cístico corto, dilatado, con un cálculo retenido. No se informaron complicaciones. La paciente fue dada de alta a las 48 horas del posoperatorio. Continuó en control prenatal y finalizó el embarazo por cesárea. El desenlace neonatal fue satisfactorio. CONCLUSIONES: La colecistitis es una de las principales alteraciones durante el embarazo. Postergar la cirugía supone consecuencias para la madre y el feto, por lo que debe establecerse el diagnóstico y tratamiento oportunos. [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.v90i6.7032 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 5 StartPage: 520 Subjects: – SubjectFull: ACALCULOUS cholecystitis Type: general – SubjectFull: SECOND trimester of pregnancy Type: general – SubjectFull: LAPAROSCOPY Type: general – SubjectFull: CESAREAN section Type: general – SubjectFull: PRENATAL care Type: general Titles: – TitleFull: Colecistitis aguda durante el segundo trimestre del embarazo: reporte de un caso. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ibarra-Rovirosa, Esther Alejandra – PersonEntity: Name: NameFull: García-Hernández, Gabriel Gerardo – PersonEntity: Name: NameFull: Flores-Mendoza, Jorge Enrique – PersonEntity: Name: NameFull: Silva-Hernández, Rubén Jesús – PersonEntity: Name: NameFull: Martínez-Hernández, Clara Magdalena – PersonEntity: Name: NameFull: Pérez-Alcázar, Keydi Viridiana IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: jun2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 03009041 Numbering: – Type: volume Value: 90 – Type: issue Value: 6 Titles: – TitleFull: Ginecología y Obstetricia de México Type: main |
| ResultId | 1 |
