Bibliographic citations
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Cabrera, L., (2020). Embarazo abdominal a término con recién nacido vivo. Reporte de caso [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/6613
Cabrera, L., Embarazo abdominal a término con recién nacido vivo. Reporte de caso [Tesis]. : Universidad Privada Antenor Orrego; 2020. https://hdl.handle.net/20.500.12759/6613
@misc{renati/380117,
title = "Embarazo abdominal a término con recién nacido vivo. Reporte de caso",
author = "Cabrera Chávez, Leonardo Enrique",
publisher = "Universidad Privada Antenor Orrego",
year = "2020"
}
Title: Embarazo abdominal a término con recién nacido vivo. Reporte de caso
Authors(s): Cabrera Chávez, Leonardo Enrique
Advisor(s): Rojas Ruiz, Juan Carlos
Keywords: Embarazo ectópico; Embarazo ectópico abdominal
Issue Date: 2020
Institution: Universidad Privada Antenor Orrego
Abstract: Antecedente: El Embarazo abdominal es el 1% de los embarazos ectópicos con
una mortalidad materna 90 veces mayor que un embarazo intrauterino y una
mortalidad fetal hasta un 90%.
Caso clínico: Mujer de 31 años de edad, llegó al hospital Regional Docente de
Cajamarca el 11 de marzo del 2015, con 39 semanas de gestación por fecha de
última regla, acudió por dolor abdominal, percibiendo movimientos fetales, negando
sangrado vaginal. Funciones vitales estables. Al examen físico se encontró altura
uterina 32 cm, frecuencia cardiaca fetal 134 latidos por minuto, feto en transverso,
tacto vaginal: Diferido por presunta placenta previa.
Paciente ingresa al servicio de obstetricia con el diagnóstico de: segundigesta de
39 semanas 3 días en pródromos de labor de parto, feto en transverso y placenta
previa. Es programada para cesárea de emergencia encontrándose: Útero de 18
cm, placenta adherida a epiplón, intestino, colon sigmoides, recto y pared lateral
izquierda del útero. Se obtuvo producto vivo de sexo femenino, peso: 2890 g,
APGAR: 8/9, talla: 50 cm, perímetro cefálico: 34.5 cm, perímetro torácico: 33 cm.
Capurro: 39 semanas; sin malformaciones. Se realizó extracción placentaria e
histerectomía abdominal subtotal más salpingoooforectomía izquierda, el sangrado
intraoperatorio fue de 1800 cc, por ello se requirió transfusión de 2 paquetes de
glóbulos rojos. Madre e hija evolucionan favorablemente, dadas de alta sin
complicaciones.
Backgound: Abdominal pregnancy is less than 1% of ectopic pregnancies with 90 times higher maternal mortality than intrauterine pregnancy and fetal mortality up to 90%. Clinical case: A 31-year-old woman arrived at the Hospital Regional Docente de Cajamarca on March 11, 2015, with 39 weeks of gestation due to the date of her last rule, she came for abdominal pain, perceiving fetal movements, denying vaginal bleeding. Stable vital functions. Physical examination found uterine height 32 cm, fetal heart rate 134 beats per minute, fetus in transverse, vaginal examination: Delayed due to presumed placenta previa. Patient was admitted to the obstetric service with the diagnosis of: second pregnancy of 39 weeks 3 days in prodrome of labor, fetus in transverse and placenta previa. She is scheduled for an emergency cesarean section, finding: 18 cm uterus, placenta attached to omentum, intestine, sigmoid colon, rectum and left lateral wall of the uterus. The live product of a female sex was obtained, weight: 2890 g, APGAR: 8/9, height: 50 cm, head circumference: 34.5 cm, thoracic circumference: 33 cm. Capurro: 39 weeks; without malformations. Placental extraction and subtotal abdominal hysterectomy plus left salpingo-oophorectomy were performed. Intraoperative bleeding was 1800 cc, therefore a transfusion of 2 red blood cells was required. Mother and daughter evolve favorably, discharged without complications. Conclusions: Abdominal pregnancy is a rare event especially when it comes to term and with a healthy live newborn.
Backgound: Abdominal pregnancy is less than 1% of ectopic pregnancies with 90 times higher maternal mortality than intrauterine pregnancy and fetal mortality up to 90%. Clinical case: A 31-year-old woman arrived at the Hospital Regional Docente de Cajamarca on March 11, 2015, with 39 weeks of gestation due to the date of her last rule, she came for abdominal pain, perceiving fetal movements, denying vaginal bleeding. Stable vital functions. Physical examination found uterine height 32 cm, fetal heart rate 134 beats per minute, fetus in transverse, vaginal examination: Delayed due to presumed placenta previa. Patient was admitted to the obstetric service with the diagnosis of: second pregnancy of 39 weeks 3 days in prodrome of labor, fetus in transverse and placenta previa. She is scheduled for an emergency cesarean section, finding: 18 cm uterus, placenta attached to omentum, intestine, sigmoid colon, rectum and left lateral wall of the uterus. The live product of a female sex was obtained, weight: 2890 g, APGAR: 8/9, height: 50 cm, head circumference: 34.5 cm, thoracic circumference: 33 cm. Capurro: 39 weeks; without malformations. Placental extraction and subtotal abdominal hysterectomy plus left salpingo-oophorectomy were performed. Intraoperative bleeding was 1800 cc, therefore a transfusion of 2 red blood cells was required. Mother and daughter evolve favorably, discharged without complications. Conclusions: Abdominal pregnancy is a rare event especially when it comes to term and with a healthy live newborn.
Link to repository: https://hdl.handle.net/20.500.12759/6613
Discipline: Medicina Humana
Grade or title grantor: Universidad Privada Antenor Orrego. Facultad de Medicina Humana
Grade or title: Médico Cirujano
Register date: 30-Sep-2020
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