Hemoperitoneo masivo asociado a embarazo ectópico: revisión de su manejo diagnóstico y tratamiento quirúrgico / Massive haemoperitoneum associated with ectopic pregnancy: review of diagnostic and surgical management
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. impr.)
; 37(9): 514-518, nov. 2011. tab, ilus
Article
in Spanish
| IBECS
| ID: ibc-91601
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
La frecuencia del embarazo extrauterino, con una incidencia poblacional del 1-2%, se ha incrementado en los últimos años sin explicación etiológica unánime a pesar de su fuerte asociación con la enfermedad pélvica inflamatoria. Su diagnóstico precoz mediante determinaciones de β-hCG y ecografía transvaginal contribuye a la prevención de complicaciones que pueden afectar a la salud materna con una mortalidad del 2-5%, fundamentalmente de causa hemorrágica; y un mayor riesgo de infertilidad posterior. Se han presentado avances terapéuticos que permiten el uso de técnicas cada vez más conservadoras. El objetivo terapéutico de este cuadro consiste en salvaguardar la vida materna y evitar su infertilidad; al tiempo que se enfatiza la importancia de su prevención primaria, basada en una correcta educación sexual que garantice una adecuada planificación familiar; como impulsora de salud materna y, seguramente, regresora de su incidencia. Presentamos a una joven que presentó un hemoperitoneo masivo por rotura de embarazo ectópico. Se analizan algunos detalles destacados del diagnóstico, tratamiento y orientación profiláctica en la práctica actual (AU)
ABSTRACT
Global ectopic pregnancy incidence is 1-2% with an increase over the last few years. Its exact aetiology is unknown despite a high relationship with pelvic inflammatory disease. This type of pregnancy complication is associated with a greater risk of subsequent infertility. Its early diagnosis by determination of β-hCG levels and transvaginal ultrasound is essential to prevent complications that could put maternal health at risk, with a mortality between 2-5%, mainly due to haemorrhage. The new therapeutic advances have led to less invasive and aggressive techniques for its treatment and diagnosis. The main aim of treating this gynaecological disorder is to save the mother's life and avoid infertility, and at the same time emphasise the importance of primary prevention. This includes sexual education and suitable family planning, to encourage maternal health and safety, and hopefully to a decrease in the incidence of this illness. We present a young-woman who suffered from massive haemoperitoneum due a rupture of an ectopic pregnancy. Some details of the diagnosis, treatment and prophylactic approach in current practice are analysed (AU)
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Collection:
National databases
/
Spain
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Target 3.1: Reduce maternal mortality
/
Digestive System Diseases
Database:
IBECS
Main subject:
Pregnancy, Ectopic
/
Shock
/
Early Diagnosis
/
Hemoperitoneum
Type of study:
Diagnostic study
/
Etiology study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Adolescent
/
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. impr.)
Year:
2011
Document type:
Article
Institution/Affiliation country:
Hospital Sierrallana de Torrelavega/España