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1.
Prog. obstet. ginecol. (Ed. impr.) ; 55(5): 235-238, mayo 2012.
Article in Spanish | IBECS | ID: ibc-99863

ABSTRACT

Presentamos un caso de secuestro broncopulmonar (SBP) sospechado en la ecografía morfológica de la semana 20 de gestación, debido al hallazgo de una imagen triangular ecogénica homogénea en el pulmón izquierdo del feto, que se confirma 2 semanas más tarde al detectar el vaso sistémico que irriga la lesión. Debido a la ausencia de factores de mal pronóstico, se decide mantener una actitud expectante, observándose una disminución progresiva de la lesión hasta su completa desaparición ecográfica en la semana 37 (AU)


We present a case of bronchopulmonary sequestration suspected in the morphological ultrasound at 20 weeks of gestation based on the finding of a homogeneous hyperechoic triangular image in the left lung of the fetus, which was confirmed 2 weeks later with the observation of a blood vessel from the aorta feeding the mass. Due to the absence of poor prognostic factors, an expectant attitude was adopted, with a progressive decrease of the mass until its complete disappearance on ultrasound at 37 weeks (AU)


Subject(s)
Humans , Male , Female , Pregnancy , Bronchopulmonary Sequestration/complications , Bronchopulmonary Sequestration/diagnosis , Prenatal Diagnosis/methods , Prenatal Diagnosis/trends , Prenatal Diagnosis , Diagnosis, Differential , Bronchopulmonary Sequestration , Biometry/methods , Ultrasound, High-Intensity Focused, Transrectal/trends
2.
Prog. obstet. ginecol. (Ed. impr.) ; 54(6): 306-309, jun. 2011.
Article in Spanish | IBECS | ID: ibc-88921

ABSTRACT

Se presenta el caso de una gestante a la que se le detectó un embarazo ectópico cervical en la sexta semana de gestación. La rapidez del diagnóstico y el buen estado clínico de la paciente permitieron la instauración de tratamiento conservador, siendo preciso el uso de dos dosis de metotrexato sistémico para que disminuyeran las cifras de la beta gonadotropina coriónica humana, y posteriormente el empleo de metotrexato intrasacular, debido a la persistencia de la imagen ecográfica. El tratamiento médico con metotrexato sistémico y/o intrasacular es una medida altamente eficaz para conseguir una escasa morbilidad, reservando otras técnicas más agresivas para aquellos casos que no respondan a este tratamiento o si aparecen complicaciones (AU)


We present a case of cervical ectopic pregnancy diagnosed in the sixth week of gestation. The speed of diagnosis and good clinical status of the patient allowed conservative treatment to be applied. Two doses of systemic methotrexate were required to decrease human chorionic gonadotrophin (BetaHCG) values followed by the use of intrasaccular methotrexate due to the persistence of the ultrasound image. Medical treatment with systemic and/or intrasaccular methotrexate is a highly effective measure to achieve low morbidity. This option allows more aggressive techniques to be reserved for patients unresponsive to this treatment or those with complications (AU)


Subject(s)
Humans , Female , Pregnancy , Adult , Methotrexate/therapeutic use , Pregnancy, Ectopic/diagnosis , Pregnancy, Ectopic/drug therapy , Hysteroscopy/methods , Minimally Invasive Surgical Procedures/methods , Early Diagnosis , Pregnancy, Ectopic , Risk Factors , Hysteroscopy
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