RESUMEN
The case of a 20 year old primigesta with a 30 weeks pregnancy, who was admitted to Emergency Service, with acute abdomen by cholecystitis, is presented. At laparotomy, a vesicular wall perforation, was found, partially sealed with epiplon and free biliary fluid in peritoneal cavity. Cholecystectomy was performed; and cesarean section 24 hours after. Therapeutic options in these patients, are analyzed, and surgical treatment risks, during gestation, and otherwise.
Asunto(s)
Colecistitis/complicaciones , Complicaciones del Embarazo/diagnóstico , Adulto , Cesárea , Colecistectomía , Colecistitis/diagnóstico , Colecistitis/cirugía , Femenino , Humanos , Paridad , Embarazo , Complicaciones del Embarazo/cirugía , Tercer Trimestre del EmbarazoRESUMEN
The objective of this paper is to present two cases of abdominal pregnancy, secondary, with fetal survival, studied at Hospital General de Zona No. 1, IMSS, at Villahermosa, Tabasco. Both patients were referred to our Unit for cesarean section by pelvic presentation. A review was done of: classification, clinical picture, operative findings, medical and surgical treatment, hemorrhagic complications, fetal findings and specific diagnostic methods. It was concluded that one should know about this condition, in order to offer a therapeutic option to the patients.
Asunto(s)
Embarazo Abdominal/diagnóstico , Adulto , Cesárea , Femenino , Humanos , Recién Nacido , Masculino , Embarazo , Embarazo Abdominal/patología , Embarazo Abdominal/cirugía , Útero/anomalíasRESUMEN
Two cases of extracranial derivations shunts with pregnancy treated at Hospital General de Zona No. 1, IMSS, Villahermosa, Tab. are presented. The world literature about this subject, was reviewed. Pregnancy evolution and resolution via, recommended anesthetic method and prophylactic antimicrobials, are considered. It was concluded that with surgery progress there are more cases of women with extracranial shunt who reach adulthood and are able to carry normal pregnancy and to deliver healthy children.