Medicina
Permanent URI for this collectionhttp://repositorio.uta.edu.ec/handle/123456789/815
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Item Hernia Diafragmática Congénita de Bochdalek(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-05-01) López Arboleda, Jaime David; Salazar Faz, Fernando Abel Dr.Congenital Diaphragmatic Hernia is a severe malformation with bad neonatal prognosis is often associated with abnormalities in various organs3. It is defined as the abdominal viscera entry into the chest cavity through a normal or pathological diaphragm orifice. The compression exerted on the herniated viscera the lungs causes pulmonary hypoplasia which is the leading cause of neonatal death7-8. Management options available today include the termination of pregnancy, expectant prenatal with postnatal treatment and therapy fetal.1 This clinical case is a female patient of 30 years old, married with background pathological personal gastritis chronic gynecological and obstetric history: beginning of sexual life at age 20, menarche at age 14, regular menstrual cycles every 28 days, dysmenorrhea no, sexually any transmission, pregnancies 2, births 0, caesarean sections 1, abortions 0, controls 3 echoes 2 complete vaccines, folic acid yes vitamins yes paptest 6 months normal, threatened abortion ago at 5 weeks of gestation due to release of gestational sac, enter asymptomatic studying of 24.6 weeks referred to private health pregnancy with transvaginal ultrasound reporting: 24.4 weeks of pregnancy, fetal diaphragmatic hernia and pulmonary hypoplasia, physical exams: stress pressure: 110/70, heart rate 86 x', saturation 92%, temperature: 37.3 °, conscious patient, afebrile, hydrated, abdomen: fundal height according to gestational age, fetal monitoring: fetal heart rate 145, fetal these movements, inguinal region: small yellowish discharge is evident without bad odor, patient assessment of fetal viability and the possibility of terminating pregnancy is reported, it is recommended that an nuclear magnetic resonance full abdomen confirming the diagnosis of diaphragmatic hernia congenital transfer is decided at a higher level hospital.