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2012, Número 1

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Gaceta Médica Espirituana 2012; 14 (1)


Fibroma uterino y embarazo. Presentación de un caso

Morales RA, Moreno BO, Ramírez RM, Alberto RY

Idioma: Español
Referencias bibliográficas: 16
Paginas:
Archivo PDF: 214.83 Kb.


RESUMEN

Fundamento: Los fibromas uterinos, también conocidos como miomas o leiomiomas son los tumores benignos más frecuentes de la porción superior del aparato genital femenino; pueden alcanzar gran tamaño, crecen con lentitud y generalmente no requieren de tratamiento. Presentación de caso: Paciente de 33 años con embarazo de seis semanas que comienza a presentar manchas de sangre oscura y dolor bajo vientre, se detecta a través de ultrasonografía y laparoscopia un mioma de 180 mm vascularizado con un pedículo grueso. Se decide realizar la miomectomía con el consentimiento de la paciente. Conclusiones: la paciente evolucionó satisfactoriamente. Acudió a consultas prenatales cada 15 días hasta las 39.6 semanas, que se le realizó la cesárea electiva.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Lee K, Khan-Dawood F, YusoffM. Oxytocin receptor and its messenger ribonucleic acid inhuman leiomyoma and myometrium. Am J Obstet Gynecol. 1998 Sep;179(3 Pt 1):620-7. Available from: http://preview.ncbi.nlm.nih.gov/pubmed/9757961

  2. Gross K, Morton C. Genetics and the development of fibroids. Clin Obstet Gynecol. 2001 Jun;44(2):335-49. Available from: http://journals.lww.com/clinicalobgyn/Citation/2001/06000/Genetics_and_the_Development_of_Fibroids.20.aspx

  3. Stovall D. Clinical syntomatology of uterine leiomyomas. Clin Obstet Gynecol. 2001 Jun;44(2):364-71. Available from: http://journals.lww.com/clinicalobgyn/Citation/2001/06000/Clinical_Symptomatology_of_Uterine_Leiomyomas.22.aspx

  4. Briceño Pérez C, Alafla F, Atencio de Ávila D, Bethancourt de Benítez C, Schloeter L, Portillo B, et al. Grandes miomas uterinos. Rev Obstet Ginecol Venez. 2001; 61:35-42.

  5. Coronado G, Marshall L, Schwartz S. Complications of pregnancy, labor, and delivery with uterine leiomyomas: A population based study. Obstet Gynecol. 2000 May;95(5):764-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10775744

  6. Guarnaccia M, Rein M. Traditional surgical approaches to uterine fibroids: Abdominal myomectomy and hysterectomy. Clin Obstet Gynecol. 2001 Jun;44(2):385-400. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11345000

  7. Cooper NP, Okolo S. Fibroids in pregnancy, common but poorly understood. Obstet Gynecol Surv. 2005 Feb;60(2):132-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15671902

  8. Ouyang DW, Norwitz ER. Obstetric complications of fibroids. Obstet Gynecol Clin North Am. 2006 Mar;33(1):153-69. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16504813

  9. Benson C.B, Chow J.S, Chang-Lee W, Hill J.A ,Doubilet PM. Outcome of pregnancys in women with uterine leiomyomas identified by sonography in the first trimester. J Clin Ultrasound. 2001 Jun;29(5):261-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11486319

  10. Neiger R, Sonek JD, Croom CS, Ventolini G. Pregnancy related changes in the size of uterine leiomyomas. J Reprod Med. 2001 Jun;29(5):261-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11486319

  11. Bonito M, Gulemì L, Basili R, Roselli D. Myomectomy during the first and second trimester of pregnancy. Clin Exp Obstet Gynecol. 2007; 34(3):149-50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17937088

  12. Klatsky PC, Tran ND, Caughey AB, Fujimoto VY. Fibroids and reproductive outcomes: a systematic literature review from conception to delivery.Am J Obstet Gynecol. 2008 Apr; 198(4):357-66. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18395031

  13. Bhatla N, Dash BB, Kriplani A, Agarwal N. Myomectomy during pregnancy: a feasible option. J Obstet Gynaecol Res. 2009 Feb; 35(1):173-5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19215567

  14. Kelly BA, Bright P, Mackenzie IZ. Does the surgical approach used for myomectomy influence the morbidity in subsequent pregnancy? J Obstet Gynaecol. 2008Jan; 28(1):77-81. Available from: http://informahealthcare.com/doi/abs/10.1080/01443610701811738

  15. Gojnic M, Pervulov M, Petkovic S, Papic M, Jeremic K, Mostic. Indication of myomectomy during pregnancy from Doppler ultrasonography. Clin Exp Obstet Gynecol. 2004; 31(3):197-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15491063

  16. Ouyang DW, Economy KE, Norwitz ER. Obstetric complications of fibroids. Obstet Gynecol Clin North Am. 2006 Mar; 33(1):153-69. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16504813




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