Síndrome de Mallory-Weiss en una embarazada / Mallory-Weiss syndrome in a pregnant

RESUMEN

La hemorragia digestiva es una de las principales causas de ingreso hospitalario por enfermedades del tracto gastrointestinal, el Síndrome de Mallory Weiss, causa el 5-10 por ciento de estas hemorragias. Se realizó una revisión bibliográfica a partir de la existencia de un caso obstétrico portadora de una hiperémesis gravídica. La paciente ingresa por hematemesis, la endoscopia concluyó un Síndrome de Mallory-Weiss, mantuvo buen estado hemodinámico, el tratamiento fue conservador y dietético. Dicha entidad, se conoce como desgarro esofágico, frecuente en hombres y causa el 5-10 por ciento de los sangramientos digestivos altos, el diagnóstico es endoscópico, con una resolución espontánea entre 24 y 48 h. Deben prevenirse los cuadros eméticos y el alcoholismo. En ocasiones puede tener complicaciones extradigestivas. No se diagnostica con mayor frecuencia pues se difiere en muchos casos el estudio endoscópico.

ABSTRACT

The digestive hemorrhage is one of the main causes of hospital entrance for illnesses of the gastrointestinal tract, the Syndrome of Mallory Weiss, causes 5-10 percent of these hemorrhages. One carries out a bibliographical revision on the syndrome of Mallory - Weiss starting from the existence of a case obstetric carrier of a hyperemesis pregnancy, being revised this patient's clinical history thoroughly. I develop The patient enters in the HDCQ Miguel Enríquez for hematemesis, the endoscopy was positive with I diagnose of laceration esofágical for what you/they concluded a Syndrome of Mallory - Weiss, later went you transfer the HDMI 10/October, at every moment it maintained good hemodynamic state and alterations didn't exist in the studies hemoquimicals its treatment it was conservative and dietary, evolving favorably until he/she decided the high one. On this entity, he/she is carried out an outline in the biography of their describers, as well as their definition I tear esofágical, epidemiology frequent in men and it causes 5-10 percent of the high digestive bleedings, the etiology he/she has factors that propitiate like vomits, the clinical square characterizes it the hematemesis, the one diagnoses it is endoscopic with a spontaneous resolution between 24 and 48 hours. It should be prevented the emetic squares and to avoid the alcoholism. In occasions he/she can have complications extradigestives. It is not diagnosed with more since frequency it is differed in many cases the endoscopic study.