“Embarazo ectópico anembrionado post ligadura más shock hipovolémico”

Abstract

Ectopic pregnancy is the implantation and development of the fertilized egg outside the endometrial cavity. Its incidence has increased in the last 30 years, and although it has decreased morbidity and mortality, is the first actual cause of death in the first trimester of pregnancy. His early suspicion is important to all women of childbearing age and risk factors indicative of extrauterine pregnancy.

Ectopic pregnancy diagnosis is based on clinical data, analytical results in maternal blood and urine, sonographic study, culdocentesis, laparoscopic or laparotomy inspection and histologic study. Treatment can be surgical, medical or watchful waiting, depending on the factors of ectopic pregnancy: diagnostic precocity, presence of acute complications, clinical condition of the patient, etc. the case of a female patient 36 years old, which is referred Basic Pelileo Hospital with a clinical picture characterized by abdominal pain, 6 hours of evolution, type contraction of great intensity, located in lower abdomen that radiates to region presents lumbosacral, accompanied by nausea and vomiting does not reach malaise. Pelvic ultrasound reported endometrial cavity occupied by pseudosaco; Annex heterogeneous mass in the left vascularized measuring 37x68mm, fornix of free liquid Douglas observed in moderate amount. Laboratory findings showed low hemoglobin and hematocrit confirmed hypovolemic shock. You enter the operating room for Hemoperitoneum resolution and subsequently instrumental curettage is performed by ectopic pregnancy. His post surgical evolution was satisfactory, being discharged on the second postoperative day.