RESUMO
El embarazo ectópico abdominal es uno de los tipos menos frecuentes de embarazos extrauterinos. Está asociado a una alta morbimorbilidad materna y fetal. El diagnóstico de esta entidad es difícil y suele realizarse de forma tardía. Presentamos el caso de una paciente con una gestación ectópica abdominal, diagnosticada mediante ecografía transvaginal, en el primer trimestre de gestación. Se realizó un tratamiento médico con metotrexato hasta la resolución del cuadro. Realizamos una revisión de la literatura científica de los factores de riesgo de embarazo ectópico abdominal, métodos diagnósticos y opciones terapéuticas (AU)
Abdominal pregnancy is a rare form of ectopic pregnancy and is associated with high maternal and fetal morbidity and mortality. The diagnosis of this entity is difficult and is generally delayed. We report the case of a patient with an abdominal pregnancy diagnosed by transvaginal ultrasound in the first trimester of pregnancy. The patient was treated with methotrexate until complete resolution. We provide a review of the literature on the risk factors, diagnostic tests and therapeutic options for abdominal pregnancy (AU)
Assuntos
Feminino , Humanos , Gravidez , Gravidez Ectópica/genética , Gravidez Ectópica/patologia , Endometriose/embriologia , Endometriose/patologia , Preparações Farmacêuticas/administração & dosagem , Cistos Ovarianos/patologia , Ultrassonografia Pré-Natal/métodos , Gravidez Ectópica/metabolismo , Gravidez Ectópica/mortalidade , Endometriose/genética , Endometriose/metabolismo , Preparações Farmacêuticas , Cistos Ovarianos/metabolismo , Ultrassonografia Pré-NatalRESUMO
Neuroblastoma is the foremost malignant neoplasm of the fetus and neonate. It is a tumor of the sympathetic nervous system that originates from the neural crest which etiology is largely unknown. Due to its general variability in outcome, neuroblastoma has long been considered one of the most enigmatic of cancers. Although technological advances in ultrasonography have possible intrauterine detection, prenatal diagnosis is still a rare event. This kind of tumor has a high morbidity and mortality rate due to the metastatic risk. Early detection of the tumor is critical to improve outcome. We report a case of retroperitoneal neuroblastoma diagnosed at 32 week of gestation.
