Ciencias de la Salud

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Subject: search.filters.subject.ECTÓPICO

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    “Embarazo ectópico cornual”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-10-01) Salinas Velastegui, Verónica Gabriela; Belalcázar Sánchez Dra. Esp., Yajaira Monserrath
    Ectopic pregnancy is considered one of the main causes of maternal mortality, and one of the most frequent problems in Obstetrics services, both public and private, is for this reason that it is decided to present this case of rare incidence worldwide, with in order to know the causes, diagnosis, risk factors and proper management of this pathology. The case analysis to be presented corresponds to a 34 year old female patient, resident in Ambato, higher education, mestizo, without significant personal pathological history, with gynecological and obstetric history: date of last menstruation April 3, 2017, gestational age 9.2 weeks of gestation, gestations: 2, deliveries: 0, abortions: 1, live children: 0, dead children: 0, pregnancy 1: spontaneous abortion at 5 weeks of gestation, pregnancy 2: current. Patient who enters the gynecological emergency service of the Ambato General Hospital (IESS) due to scarce vaginal bleeding of chocolate color of 15 days of evolution, at the physical examination: normal vital signs, abdomen: slightly distended, depressible not painful on palpation, region inguinogenital; presence of little chocolate secretion, tests are requested which report: positive BHCG in blood, progesterone 8.18 ng/ml, EMO: infectious, transvaginal ultrasound: complex left adnexal mass, empty uterine cavity, reason for which laparoscopy is performed exploratory study in which there is a non-injured left cornual ectopic pregnancy, subserous uterine myoma and conversion to laparotomy is decided for ectopic pregnancy removal and incidental myomectomy; postsurgical with satisfactory evolution, high in good conditions.
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    Embarazo Ectópico Accidentado mas Shock Hipovolémico
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Hidalgo Noroña, Tránsito Maricela; González Guevara, Laura Catalina Dra.
    Ectopic pregnancy is defined as the implantation of the fertilized egg outside the uterine cavity. In Ecuador, according to data released by the INEC in 2014, ectopic pregnancy is the fourth leading cause of maternal death with a result of 6.02%. The most common location of ectopic pregnancy is in the fallopian tube. There are multiple factors related to ectopic pregnancy and the prevalence of such factors is increasing, it correlates with a history of sexually transmitted diseases, ectopic pregnancy, tubal surgery, adult women and snuff disease. It is one of the most important causes of acute abdomen in obstetrics and despite progress in diagnostic and therapeutic methods, ectopic pregnancy continues to represent worldwide problem of maternal morbidity and mortality in the first trimester of pregnancy. This case describes a female patient of 29 years old with no medical history of importance, date of last menstruation know, go to the emergency room because of abdominal pain for about 2 hours, accompanied by tachycardia, hypotension and generalized pallor. Laboratory tests which report leukocytosis, decreased hemoglobin, hematocrit and positive BHCG are made. In addition to reporting abdominal ultrasound performed rugged ectopic pregnancy. Patient is assessed by emergency obstetric resulting test income is decided to surgical center for emergency laparotomy for ectopic pregnancy injured more hypovolemic shock finding free bleeding cavity more clots approximately 3000 milliliters, is administered crystalloid and packed red blood cells plus thereby controls the patient hemodynamically. Approximately 24 hours after the patient has difficulty breathing and chest x-ray desaturation is valued by internal medicine and cardiology who diagnostic acute pulmonary edema, treatment is established it is done. Patient course and is discharged 5 days later. Despite scientific advances in diagnosis, prevention and treatment of this disease is still left unnoticed patients of this kind, either suspicion at the time of care, delay in referral to areas of higher resolution, or perhaps for lack diagnostic tools that enable us to reach a concrete analysis quick and timely manner, it is important to consider the relevance of the investigation of this case report that aims to create a clear and precise understanding of the diagnosis and management of ectopic pregnancy for early intervention, for the benefit of the patient.