Embarazo Ectópico Accidentado Complicado con Shock Hipovolémico

Abstract

The case of a female patient of 27 years who consulted for abdominal pain 72 hours of evolution is presented, enter our service for a box of possible acute pancreatitis, he performs echo fast showing free fluid in the abdominal cavity and the periphery of the annexes and Douglas, empty uterus, and integrity of liver and spleen is observed, which is considered a likely bumpy ectopic pregnancy, performed BHCG that is positive, in that patient time is hypotensive, tachycardic with generalized pallor, Algic facies, dry oral mucosa, so that perform exploratory laparotomy emergency identification of ectopic pregnancy, fixing section and ligation right uterine horn, persists hypotensive patient tachycardic so a red cell concentrate is administered in addition to colloids and crystalloid without achieving better pressure values so transfer is decided at a nursing home more complex where there Intensive Care Unit entering diagnosed with an injured ectopic pregnancy with hypovolemic shock. The presentation of this case is to identify risk factors, correlating clinical with complementary examinations necessary for the identification of an ectopic pregnancy and the application of immediate treatment that does not allow reaching complications that threaten the life of the patient .