ABSTRACT
BACKGROUND Abdominal pregnancy is a special type of ectopic pregnancy, characterized by implantation of the embryo in the peritoneal cavity, with tubal, ovarian, and intraligamentary pregnancies excluded, accounting for approximately 1% of all cases. It was first reported in 1708 after an autopsy and since then numerous cases have been reported, with a current incidence of 1: 10 000 to 1: 30 000 pregnancies. CASE REPORT We report the case of a 27-year-old woman, resident of the city of Caxias do Sul, Brazil, with an extra-uterine pregnancy by ultrasound diagnosis at 25 weeks and 1 day of gestational age and a live fetus. CONCLUSIONS Abdominal gestation is a rare type of ectopic pregnancy and is characterized as a life-threatening situation. Its biggest challenge is to make an early diagnosis, since most cases go unnoticed at the ultrasound performed in the first trimester, and when symptomatic, they do not present themselves in a specific way. When necessary, MRI has been shown to greatly elucidate such cases. Moreover, the therapeutic decision also presents some disparities in the literature. Although it is known that open surgery is best option, there are still many doubts regarding whether to perform placental extraction since its removal process can cause abundant bleeding, putting the patient at risk during the surgical procedure, in the same way that its maintenance and the use of drug treatment can also aggravate the patient's clinical picture.
Subject(s)
Pregnancy, Abdominal , Adult , Brazil , Delayed Diagnosis , Female , Gestational Age , Humans , Live Birth , Placenta , Pregnancy , Pregnancy, Abdominal/diagnostic imaging , Pregnancy, Abdominal/surgery , SalpingectomyABSTRACT
A lesão de Dieulafoy consiste na ruptura de uma artéria protrusa na submucosa gástrica, devido a uma malformação arterial congênita, que pode causar um quadro de hemorragia digestiva alta, de início súbito e de grande volume. Esta afecção pode ser responsável por até 5por cento de todas as hemorragias do trato gastrointestinal superior, sendo mais prevalente em pacientes do sexo masculino. Os autores relatam dois casos de lesão de Dieullagou manifestada por hematêmese de iníncio súbito
