ABSTRACT
Aplastic anemia (AA) or acquired aplastic anemia is an uncommon and potentially fatal disease. It is defined as reduction of at least two peripheral blood series, associated with persistent bone marrow hypocellularity. It's association with pregnancy is even more uncommon, and it may result in high mortality for the mother and the child. We report an adolescent female with aplastic anemia, which worsened during pregnancy. Her hemoglobin was 5.2 g/dl, her leukocytes were 1,833/ul and her platelets were 19,000/ul. She was initially treated with cyclosporine and horse antithymocyte globulin without hematologic improvement. At 36 weeks of pregnancy methylprednisolone and platelet transfusions were used and a cesarean section was performed. Six month later she continues to require red blood cell and platelet transfusions.
Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , Adolescent , Pregnancy Complications, Hematologic/therapy , Anemia, Aplastic/therapy , Severity of Illness Index , Pregnancy OutcomeABSTRACT
Mostrar la experiencia, beneficios, complicaciones y requerimientos técnicos de la cirugía laparoscópica durante el embarazo. Servicio de Cirugía Hospital Dr. Américo Babo, CVG Ferrominera Orinoco Puerto Ordaz. Estudio retrospectivo de las historias médicas de cinco pacientes embarazadas, con diferentes edades gestacionales, que ameritaron cirugía laparoscópica por presentar abdomen agudo quirúrgico, entre marzo de 1996 y diciembre del 2000. Los procedimientos realizados fueron dos colecistectomías, dos apendicectomías y una cistectomía ovárica. Todas las pacientes evolucionaron de forma satisfactoria, sin presentar trabajo prematuro de parto o pérdidas finalizando sus embarazos en condiciones normales. La cirugía laparoscópica puede ser realizada con seguridad en las pacientes embarazadas, siguiendo una serie de precauciones que eviten el riesgo de complicaciones. Discutimos nuestra experiencia y los reportes recientes de la literatura mundial