Medicina
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Item “Histerectomía abdominal total por embarazo ectópico cervical”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-05-01) Borja Cepeda, Paola Vanessa; Dr. Cazar Gallegos, Luis Fabricio.Cervical pregnancy corresponds to an unusual type of ectopic pregnancy; it represents around 0.1% of all ectopic pregnancies. The incidence is estimated at 1: 2500 to 1: 98,000 pregnancies worldwide. In America this amounted to 4.5 per 1,000 pregnancies, among the causes of this increase, have mentioned the increase in sexually transmitted diseases, pelvic inflammation and assisted reproduction techniques. In Ecuador, although there are no reports on the incidence of its presentation, according to the INEC (National Institute of Statistics and Census), it states that ectopic pregnancies are among the ten leading causes of maternal death in our nation. This pregnancy, characterized by implantation of a fertilized ovule in the endocervical canal, causes late diagnosis to delay the start of treatment; and it is extremely dangerous because the trophoblast can reach the uterine vessels, through the thin cervical wall and cause a severe and incoercible hemorrhage. Due to this antecedent the importance of this investigation is born, on this type of pregnancy, because a massive hemorrhage can occur secondary to bleeding of the cervical vessels. For what is of interest to all, primarily for health personnel, as it is a condition that threatens the patient's life. A clinical case is presented below. Patient of 31 years of age, with no significant personal or family history. He has been presenting for 2 months genital bleeding in a small amount, accompanied by pain of great intensity localized in hypogastrium, so he goes to the Pelileo Hospital, obtains positive qualitative BHCG and is referred to the Ambato Regional Teaching Hospital and admitted to the Obstetric Center. in revision of cervix gestational sac adheres and broken with active bleeding so a total abdominal hysterectomy is performed.