RESUMO
Anaphylactic-like reaction or anaphylactoid reaction resembles generalized anaphylaxis but is not caused by immunoglobulin E-mediated allergic reaction. This reaction is caused by a non-immunologic mechanism even after first exposure to antigen. Prostaglandin E2 (dinoprostone) gel is commonly used for pre-induction cervical ripening. We report a case of anaphylactiod reaction after insertion of prostaglandin E2 gel for induction of labor. Hyperstimulation with dinoprostone gel is reported in the literature. An isolated report of three cases of anaphylactiod reaction after intracervical dinoprostone gel was found during a literature search. We are reporting this case for its rarity. As a potentially life-threatening condition, every obstetrician should be aware of this rare complication of dinoprostone gel.
Assuntos
Anafilaxia/induzido quimicamente , Dinoprostona/efeitos adversos , Complicações do Trabalho de Parto/induzido quimicamente , Ocitócicos/efeitos adversos , Adulto , Anafilaxia/terapia , Colo do Útero , Cesárea , Dinoprostona/administração & dosagem , Feminino , Géis , Humanos , Nascido Vivo , Complicações do Trabalho de Parto/terapia , Ocitócicos/administração & dosagem , Gravidez , Resultado do Tratamento , Cremes, Espumas e Géis Vaginais/efeitos adversos , Adulto JovemRESUMO
Pregnancy in the rudimentary horn is a very rare condition. In these cases, rupture of the rudimentary horn in the second trimester with fetal death and catastrophic intraperitoneal hemorrhage is the commonly reported outcome. Silent rupture of the rudimentary horn and continuation of pregnancy as a secondary abdominal pregnancy is the most unusual outcome of this rare condition. We report such a case with a good maternal and neonatal outcome. The case is being reported for its rarity.
