Embarazo cornual de 31 semanas con ruptura uterina. Reporte de caso.
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| Title: | Embarazo cornual de 31 semanas con ruptura uterina. Reporte de caso. |
|---|---|
| Alternate Title: | 31-week cornual pregnancy with uterine rupture. A case report. |
| Authors: | Ibáñez García, Mariana Ivonne1 marianaig_92@hotmail.com, Sarahí Jasso-Gaona, Rebeca2, Fernanda Pérez-Torres, María2, González-Oropeza, Diego3 |
| Source: | Ginecología y Obstetricia de México. ago2022, Vol. 90 Issue 8, p695-700. 6p. |
| Subjects: | HETEROTOPIC pregnancy, ECTOPIC pregnancy, PREGNANCY complications, UTERINE rupture, PRENATAL care, MATERNAL mortality, UTERINE hemorrhage |
| Abstract (English): | BACKGROUND: Cornual pregnancy is a diagnostic challenge because the stretching capacity of the myometrium makes the manifestation late and with high mortality due to the risk of hemorrhagic shock that occurs in up to one third of patients. OBJECTIVE: To emphasize the importance of adequate prenatal care for the timely diagnosis of ectopic pregnancy and the consequent reduction of associated complications. CLINICAL CASE: Primigestation patient, 20 years old, native, and resident of Guadalupe, Nuevo Leon. No relevant heredofamilial or personal medical or surgical history. She was admitted to the obstetrics emergency room with hypovolemic shock and 31 weeks of pregnancy. On examination the abdominal cavity was found to have a left cornual pregnancy, with uterine rupture and placental accretism. Therefore, obstetric hysterectomy, bilateral salpingectomy and left oophorectomy were performed, with a report of 1000 mL of hemoperitoneum. The postoperative evolution was satisfactory. CONCLUSIONS: Cornual pregnancy should be suspected in any woman with amenorrhea, abdominal pain and transvaginal bleeding, with purposeful search for ultrasonographic findings of empty uterine cavity, chorionic sac separated at least 1 cm from the lateral border of the uterine cavity, thin myometrial layer (less than 5 mm) surrounding the gestational sac, and interstitial line sign (the visualization of an echogenic line extending from the endometrial cavity to the cornual region, contiguous with the gestational sac). The early diagnosis of these pregnancies avoids complications and affects the future obstetrician. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | ANTECEDENTES: El embarazo cornual es un reto diagnóstico debido a que la capacidad de estiramiento del miometrio hace que la manifestación sea tardía y con alta mortalidad debido al riesgo de choque hemorrágico que llega a suceder, incluso, hasta en un tercio de las pacientes. OBJETIVO: Hacer hincapié en la importancia del adecuado control prenatal para el diagnóstico oportuno de embarazo ectópico y la consecuente disminución de complicaciones asociadas. CASO CLÍNICO: Paciente primigesta, de 20 años de edad, originaria y residente de Guadalupe, Nuevo León. Sin antecedentes heredofamiliares o personales médicos o quirúrgicos relevantes. Ingresó a la sala de urgencias de Obstetricia con un cuadro de choque hipovolémico y 31 semanas de embarazo. En la revisión la cavidad abdominal se encontró con un embarazo cornual izquierdo, con ruptura uterina y acretismo placentario. Por lo anterior, se procedió a la histerectomía obstétrica, salpingectomía bilateral y ooforectomía izquierda, con reporte de 1000 mL de hemoperitoneo. La evolución posquirúrgica fue satisfactoria. CONCLUSIONES: El embarazo cornual debe sospecharse en toda mujer con amenorrea, dolor abdominal y sangrado transvaginal, con búsqueda intencionada de los hallazgos ultrasonográficos de cavidad uterina vacía, saco coriónico separado por lo menos 1 cm desde el borde lateral de la cavidad uterina, capa del miometrio delgada (menos de 5 mm) que rodea el saco gestacional y signo de la línea intersticial (visualización de una línea ecogénica que se extiende desde la cavidad endometrial hasta la región cornual, contigua al saco gestacional). El diagnóstico temprano de estos embarazos evita complicaciones y afectaciones al futuro obstétrico. [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: 158304003 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Embarazo cornual de 31 semanas con ruptura uterina. Reporte de caso. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: 31-week cornual pregnancy with uterine rupture. A case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ibáñez+García%2C+Mariana+Ivonne%22">Ibáñez García, Mariana Ivonne</searchLink><relatesTo>1</relatesTo><i> marianaig_92@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Sarahí+Jasso-Gaona%2C+Rebeca%22">Sarahí Jasso-Gaona, Rebeca</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Fernanda+Pérez-Torres%2C+María%22">Fernanda Pérez-Torres, María</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22González-Oropeza%2C+Diego%22">González-Oropeza, Diego</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. ago2022, Vol. 90 Issue 8, p695-700. 6p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HETEROTOPIC+pregnancy%22">HETEROTOPIC pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22ECTOPIC+pregnancy%22">ECTOPIC pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22PREGNANCY+complications%22">PREGNANCY complications</searchLink><br /><searchLink fieldCode="DE" term="%22UTERINE+rupture%22">UTERINE rupture</searchLink><br /><searchLink fieldCode="DE" term="%22PRENATAL+care%22">PRENATAL care</searchLink><br /><searchLink fieldCode="DE" term="%22MATERNAL+mortality%22">MATERNAL mortality</searchLink><br /><searchLink fieldCode="DE" term="%22UTERINE+hemorrhage%22">UTERINE hemorrhage</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: Cornual pregnancy is a diagnostic challenge because the stretching capacity of the myometrium makes the manifestation late and with high mortality due to the risk of hemorrhagic shock that occurs in up to one third of patients. OBJECTIVE: To emphasize the importance of adequate prenatal care for the timely diagnosis of ectopic pregnancy and the consequent reduction of associated complications. CLINICAL CASE: Primigestation patient, 20 years old, native, and resident of Guadalupe, Nuevo Leon. No relevant heredofamilial or personal medical or surgical history. She was admitted to the obstetrics emergency room with hypovolemic shock and 31 weeks of pregnancy. On examination the abdominal cavity was found to have a left cornual pregnancy, with uterine rupture and placental accretism. Therefore, obstetric hysterectomy, bilateral salpingectomy and left oophorectomy were performed, with a report of 1000 mL of hemoperitoneum. The postoperative evolution was satisfactory. CONCLUSIONS: Cornual pregnancy should be suspected in any woman with amenorrhea, abdominal pain and transvaginal bleeding, with purposeful search for ultrasonographic findings of empty uterine cavity, chorionic sac separated at least 1 cm from the lateral border of the uterine cavity, thin myometrial layer (less than 5 mm) surrounding the gestational sac, and interstitial line sign (the visualization of an echogenic line extending from the endometrial cavity to the cornual region, contiguous with the gestational sac). The early diagnosis of these pregnancies avoids complications and affects the future obstetrician. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: ANTECEDENTES: El embarazo cornual es un reto diagnóstico debido a que la capacidad de estiramiento del miometrio hace que la manifestación sea tardía y con alta mortalidad debido al riesgo de choque hemorrágico que llega a suceder, incluso, hasta en un tercio de las pacientes. OBJETIVO: Hacer hincapié en la importancia del adecuado control prenatal para el diagnóstico oportuno de embarazo ectópico y la consecuente disminución de complicaciones asociadas. CASO CLÍNICO: Paciente primigesta, de 20 años de edad, originaria y residente de Guadalupe, Nuevo León. Sin antecedentes heredofamiliares o personales médicos o quirúrgicos relevantes. Ingresó a la sala de urgencias de Obstetricia con un cuadro de choque hipovolémico y 31 semanas de embarazo. En la revisión la cavidad abdominal se encontró con un embarazo cornual izquierdo, con ruptura uterina y acretismo placentario. Por lo anterior, se procedió a la histerectomía obstétrica, salpingectomía bilateral y ooforectomía izquierda, con reporte de 1000 mL de hemoperitoneo. La evolución posquirúrgica fue satisfactoria. CONCLUSIONES: El embarazo cornual debe sospecharse en toda mujer con amenorrea, dolor abdominal y sangrado transvaginal, con búsqueda intencionada de los hallazgos ultrasonográficos de cavidad uterina vacía, saco coriónico separado por lo menos 1 cm desde el borde lateral de la cavidad uterina, capa del miometrio delgada (menos de 5 mm) que rodea el saco gestacional y signo de la línea intersticial (visualización de una línea ecogénica que se extiende desde la cavidad endometrial hasta la región cornual, contigua al saco gestacional). El diagnóstico temprano de estos embarazos evita complicaciones y afectaciones al futuro obstétrico. [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.v90i8.7023 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 6 StartPage: 695 Subjects: – SubjectFull: HETEROTOPIC pregnancy Type: general – SubjectFull: ECTOPIC pregnancy Type: general – SubjectFull: PREGNANCY complications Type: general – SubjectFull: UTERINE rupture Type: general – SubjectFull: PRENATAL care Type: general – SubjectFull: MATERNAL mortality Type: general – SubjectFull: UTERINE hemorrhage Type: general Titles: – TitleFull: Embarazo cornual de 31 semanas con ruptura uterina. Reporte de caso. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ibáñez García, Mariana Ivonne – PersonEntity: Name: NameFull: Sarahí Jasso-Gaona, Rebeca – PersonEntity: Name: NameFull: Fernanda Pérez-Torres, María – PersonEntity: Name: NameFull: González-Oropeza, Diego IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: ago2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 03009041 Numbering: – Type: volume Value: 90 – Type: issue Value: 8 Titles: – TitleFull: Ginecología y Obstetricia de México Type: main |
| ResultId | 1 |
