Rotura espontánea de varices uterinas como causa de hemoperitoneo en la segunda mitad de la gestación
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This case report details a potentially lethal instance of hemoperitoneum in a 28-week pregnant woman caused by spontaneous rupture of uterine varices, necessitating an emergency cesarean and hysterectomy.
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Abstract
Resumen El hemoperitoneo durante el embarazo, secundario a la rotura espontanea de varices uterinas, es una condicion clinica infrecuente, aunque potencialmente letal. La mortalidad materna puede llegar al 49%, aunque, con la rapida atencion, ha descendido hasta un 3,4%; la mortalidad perinatal alcanza el 31%. La clinica es inespecifica, dolor abdominal y choque hipovolemico, asociado o no a sufrimiento fetal. La laparotomia exploradora es necesaria en estos casos, junto con la reposicion de liquidos y sangre. Se presenta el caso de una septigesta de 44 anos con edad gestacional de 28 semanas y 5 dias, que presentaba dolor abdominal intenso e inestabilidad hemodinamica en la que se objetivo bradicardia fetal mantenida. Se indico cesarea urgente ante sospecha de desprendimiento prematuro de placenta normoinserta, comprobandose importante hemoperitoneo procedente de 2 grandes varices de la pared anterior del utero. Se realizo una histerectomia puerperal al no controlarse el sangrado con puntos de hemostasia.
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (3)
- Spontaneous Rupture of the Uterine Vessels in Pregnancy 2004
- Uterine Vein Rupture at Delivery as a Delayed Consequence of Laparoscopic Surgery for Endometriosis: A Case Report 2009
- Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature 2009
References (12)
- Spontaneous Rupture of the Uterine Vessels in Pregnancy via openalex
- Successful Laparoscopic Management of Spontaneous Hemoperitoneum at 15 Weeks of Pregnancy: Case Report and Review of Literature via openalex
- Uterine Vein Rupture at Delivery as a Delayed Consequence of Laparoscopic Surgery for Endometriosis: A Case Report via openalex
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