Parto pretérmino y sufrimiento fetal secundarios a peritonitis por apendicitis aguda perforada / Premature labor and fetal distress in a women with perforating acute appendicitis
Rev. chil. obstet. ginecol
;
74(3): 185-188, 2009. ilus
Article
in Spanish
| LILACS
| ID: lil-547808
RESUMEN
La apendicitis aguda es la urgencia quirúrgica no obstétrica más frecuente durante el embarazo. Se ha asociado a parto pretérmino y a morbimortalidad fetal y materna, especialmente cuando se complica con peritonitis. Los cambios anatómicos, fisiológicos y bioquímicos que se producen durante la gestación pueden alterar los síntomas y signos típicos asociados a la apendicitis. Esto puede retrasar el diagnóstico y dar lugar a un aumento de la morbimortalidad materna y fetal. Presentamos el caso de una paciente gestante de 35 semanas en que la dificultad en el diagnóstico de apendicitis aguda conllevó a un cuadro de peritonitis, secundario a perforación apendicular, que causó dinámica uterina prematura y sufrimiento fetal.
ABSTRACT
Acute appendicitis is the most common non-obstetric surgical emergency in pregnancy. It has been associated with premature labour and fetal and maternal morbidity and mortality, especially when complicated with peritonitis. Anatomical, physiological and biochemical changes during pregnancy may alter typical symptoms and signs associated with appendicitis. This can result in delayed diagnosis and lead to an increase in mother's and fetus morbimortality. We present a case of a pregnant woman at 35 weeks of gestation in whom the difficulty in diagnosis of acute appendicitis resulted in the appearance of peritonitis because of appendix perforation, which was the cause of preterm labour and fetal distress.
Full text:
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Index:
LILACS (Americas)
Main subject:
Appendicitis
/
Pregnancy Complications
/
Fetal Distress
/
Obstetric Labor, Premature
Type of study:
Etiology study
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Rev. chil. obstet. ginecol
Journal subject:
Gynecology
/
Obstetrics
Year:
2009
Type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Hospital Maternal Universitario La Fe/ES
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